MEDICARE: DR. ROBERTO CANALES M,D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	F7349	TX
2	2080P0207X	Pediatric Hematology & Oncology Physician	F7349	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093827255
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERTO CANALES M,D.

Provider Business Mailing Address
First Line	:	1733 CURIE DR
Second Line	:	SUITE 103
City	:	EL PASO
State	:	TX
Zip	:	79902-2910
Country	:	US
Telephone Number	:	915-532-2985
Fax Number	:	915-542-4927

Provider Business Practice Location Address
First Line	:	1733 CURIE DR
Second Line	:	SUITE 103
City	:	EL PASO
State	:	TX
Zip	:	79902-2910
Country	:	US
Telephone Number	:	915-532-2985
Fax Number	:	915-542-4927

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	12/09/2025

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Directions to “ DR. ROBERTO CANALES M,D.” Practice Location

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