Healthcare Provider Details

I. General information

NPI: 1043287287
Provider Name (Legal Business Name): SALUD Y VIDA, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2006
Last Update Date: 08/25/2023
Certification Date: 08/04/2023
Deactivation Date: 08/04/2023
Reactivation Date: 08/25/2023

III. Provider practice location address

6974 GATEWAY BLVD E SUITE F
EL PASO TX
79915-1115
US

IV. Provider business mailing address

1335 GERONIMO DR
EL PASO TX
79925-1836
US

V. Phone/Fax

Practice location:
  • Phone: 915-774-8850
  • Fax: 915-598-3946
Mailing address:
  • Phone: 915-591-2704
  • Fax: 915-225-0413

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: RAFAEL ARMENDARIZ
Title or Position: PRESIDENT
Credential: D.O.
Phone: 915-591-2704