Healthcare Provider Details

I. General information

NPI: 1740266014
Provider Name (Legal Business Name): PEDRO M CARAM SR. M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/19/2005
Last Update Date: 03/01/2024
Certification Date: 03/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18511 HIGHLANDER MEDICS ST # 5626
EL PASO TX
79906-5327
US

IV. Provider business mailing address

18511 HIGHLANDER MEDICS ST # 5626
FORT BLISS TX
79906-5327
US

V. Phone/Fax

Practice location:
  • Phone: 915-742-4323
  • Fax: 915-742-2706
Mailing address:
  • Phone: 915-742-4323
  • Fax: 915-742-2706

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberH0231
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: