MEDICARE: ORTHOEDGE ORTHOPEDICS AND SPORTS MEDICINE

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	261QM2500X	Medical Specialty Clinic/Center

General Provider Information

NPI Number	:	1316736994
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOEDGE ORTHOPEDICS AND SPORTS MEDICINE

Provider Business Mailing Address
First Line	:	5555 N MESA ST STE 400
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79912-5424
Country	:	US
Telephone Number	:	915-780-3909
Fax Number	:

Provider Business Practice Location Address
First Line	:	5555 N MESA ST STE 400
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79912-5424
Country	:	US
Telephone Number	:	915-780-3909
Fax Number	:

Authorized Official
Title or Position	:	ORTHOPEDIC SURGEON
Name	:	WILLIAM ARROYO SIFUENTES
Credential	:	MD
Telephone Number	:	915-780-3909

Provider Enumeration Date	:	05/01/2025
Last Update Date	:	05/29/2025

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