Healthcare Provider Details

I. General information

NPI: 1750215810
Provider Name (Legal Business Name): VETERANS AFFAIRS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6597 HERMOSO DEL SOL
EL PASO TX
79911-3018
US

IV. Provider business mailing address

6597 HERMOSO DEL SOL
EL PASO TX
79911-3018
US

V. Phone/Fax

Practice location:
  • Phone: 619-985-4666
  • Fax:
Mailing address:
  • Phone: 619-985-4666
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MS. MONIQUE RODRIGUEZ
Title or Position: REGISTERED NURSE
Credential: RN BSN
Phone: 619-985-4666