MEDICARE: KIDNEY CONSULTANTS OF EL PASO

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	207RN0300X	Nephrology Physician	G9705	TX

General Provider Information

NPI Number	:	1174584114
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KIDNEY CONSULTANTS OF EL PASO

Provider Business Mailing Address
First Line	:	1566 LOMALAND DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79935-4202
Country	:	US
Telephone Number	:	915-544-7767
Fax Number	:	915-532-6938

Provider Business Practice Location Address
First Line	:	1566 LOMALAND DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79935-4202
Country	:	US
Telephone Number	:	915-544-7767
Fax Number	:	915-532-6938

Authorized Official
Title or Position	:	OFFICER
Name	:	DR. DIONICIO ALVAREZ
Credential	:	MD
Telephone Number	:	915-544-7767

Provider Enumeration Date	:	03/29/2006
Last Update Date	:	04/04/2025

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Directions to “KIDNEY CONSULTANTS OF EL PASO ” Practice Location

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