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NPI Code Detail

MEDICARE: CENTRO DE SALUD FAMILIAR LA FE, INC

MEDICARE: CENTRO DE SALUD FAMILIAR LA FE, INC
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
1122300000XDentist
21223D0004XDental Anesthesiology
31223G0001XGeneral Practice Dentistry
41223P0300XPeriodontics
5207R00000XInternal Medicine Physician
6208000000XPediatrics Physician
7208D00000XGeneral Practice Physician
8363LF0000XFamily Nurse Practitioner
9363LP0222XCritical Care Pediatric Nurse Practitioner
10363LP0808XPsychiatric/Mental Health Nurse Practitioner
11261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629040621
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTRO DE SALUD FAMILIAR LA FE, INC
Provider Business Mailing Address
First Line : 1314 E. YANDELL
Second Line :
City : EL PASO
State : TX
Zip : 79902
Country : US
Telephone Number : 915-534-7979
Fax Number : 915-534-7601
Provider Business Practice Location Address
First Line : 700 S OCHOA ST
Second Line :
City : EL PASO
State : TX
Zip : 79901-2936
Country : US
Telephone Number : 915-534-7979
Fax Number : 915-534-7601
Authorized Official
Title or Position : CFO
Name : LUCY RODARTE
Credential :
Telephone Number : 915-534-7979
Provider Enumeration Date : 02/03/2006
Last Update Date : 09/12/2024

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Directions to “CENTRO DE SALUD FAMILIAR LA FE, INC ” Practice Location

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