MEDICARE: ULISSES ACUNA

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
2	332BX2000X	Oxygen Equipment & Supplies (DME)
3	332B00000X	Durable Medical Equipment & Medical Supplies

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	:	1326356387
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ULISSES ACUNA

Provider Business Mailing Address
First Line	:	1530 GOODYEAR DR
Second Line	:	SUITE A
City	:	EL PASO
State	:	TX
Zip	:	79936-6062
Country	:	US
Telephone Number	:	915-590-7008
Fax Number	:	915-590-7009

Provider Business Practice Location Address
First Line	:	1530 GOODYEAR DR STE A1
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-6037
Country	:	US
Telephone Number	:	915-533-4466
Fax Number	:	915-533-4471

Authorized Official
Title or Position	:	OWNER
Name	:	ULISSES ACUNA
Credential	:
Telephone Number	:	915-590-7008

Provider Enumeration Date	:	09/23/2010
Last Update Date	:	04/27/2026

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Directions to “ULISSES ACUNA ” Practice Location

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