Healthcare Provider Details

I. General information

NPI: 1518181684
Provider Name (Legal Business Name): EL PASO CARDIOPULMONARY ASSOCIATES, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2311 N MESA ST STE E
EL PASO TX
79902-3575
US

IV. Provider business mailing address

2311 N MESA ST STE E
EL PASO TX
79902-3575
US

V. Phone/Fax

Practice location:
  • Phone: 915-533-8499
  • Fax: 915-544-4929
Mailing address:
  • Phone: 915-533-8499
  • Fax: 915-544-4929

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberE7798
License Number StateTX

VIII. Authorized Official

Name: DR. GONZALO A DIAZ
Title or Position: PRESIDENT
Credential: M.D.
Phone: 915-533-8499