MEDICARE: THE RECOVERY ROOM

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	174400000X	Specialist

General Provider Information

NPI Number	:	1285597047
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE RECOVERY ROOM

Provider Business Mailing Address
First Line	:	2106 N ZARAGOZA RD STE 111
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79938-8098
Country	:	US
Telephone Number	:	915-261-7464
Fax Number	:

Provider Business Practice Location Address
First Line	:	2106 N ZARAGOZA RD STE 111
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79938-8098
Country	:	US
Telephone Number	:	915-261-7464
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	JESUS GOMEZ JR.
Credential	:
Telephone Number	:	915-328-1718

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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Directions to “THE RECOVERY ROOM ” Practice Location

Language	Start Address	Practice Location

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