Healthcare Provider Details

I. General information

NPI: 1386604767
Provider Name (Legal Business Name): MIGUEL A. PIRELA-CRUZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2006
Last Update Date: 03/22/2024
Certification Date: 03/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1540 N ZARAGOZA RD
EL PASO TX
79936-7905
US

IV. Provider business mailing address

1540 N ZARAGOZA RD
EL PASO TX
79936-7905
US

V. Phone/Fax

Practice location:
  • Phone: 915-592-3323
  • Fax:
Mailing address:
  • Phone: 915-592-3323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberL4649
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License NumberK4649
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: