Healthcare Provider Details

I. General information

NPI: 1740109990
Provider Name (Legal Business Name): ALMA ROSALES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4815 ALAMEDA AVE
EL PASO TX
79905-2705
US

IV. Provider business mailing address

4815 ALAMEDA AVE
EL PASO TX
79905-2705
US

V. Phone/Fax

Practice location:
  • Phone: 915-521-7760
  • Fax: 915-521-7303
Mailing address:
  • Phone: 915-261-6204
  • Fax: 915-521-7303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number00263
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: