MEDICARE: DIAGNOSTIC PRO IMAGING

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	2085R0202X	Diagnostic Radiology Physician

General Provider Information

NPI Number	:	1346777190
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIAGNOSTIC PRO IMAGING

Provider Business Mailing Address
First Line	:	6501 N MESA ST
Second Line	:	SUITE A
City	:	EL PASO
State	:	TX
Zip	:	79912-4435
Country	:	US
Telephone Number	:	915-326-3951
Fax Number	:	915-585-0021

Provider Business Practice Location Address
First Line	:	1335 GERONIMO DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79925-1836
Country	:	US
Telephone Number	:	915-591-2704
Fax Number	:	915-225-0413

Authorized Official
Title or Position	:	MEMBER/MANAGER
Name	:	JORGE LUIS SARMIENTO
Credential	:	M.D.
Telephone Number	:	915-326-3951

Provider Enumeration Date	:	05/11/2017
Last Update Date	:	05/11/2017

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Directions to “DIAGNOSTIC PRO IMAGING ” Practice Location

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