MEDICARE: IDY MARGARITA WATERS

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	363LP0200X	Pediatric Nurse Practitioner	1016401	TX

General Provider Information

NPI Number	:	1780453621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IDY MARGARITA WATERS

Provider Business Mailing Address
First Line	:	1549 PRADO DEL SOL DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-6205
Country	:	US
Telephone Number	:	915-328-4487
Fax Number	:

Provider Business Practice Location Address
First Line	:	1549 PRADO DEL SOL DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-6205
Country	:	US
Telephone Number	:	915-328-4487
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2023
Last Update Date	:	12/20/2023

Similar Medicare Providers

1043861925 — MARIA LOURDES GONZALEZ
Practice Location Address:

1549 PRADO DEL SOL DR
EL PASO, TX
79936-6205

Practice Phone: 915-256-4980
Practice Fax:

1821920158 — JASMINE LORENA REGALADO
Practice Location Address:

350 N FESTIVAL DR APT 504
EL PASO, TX
79912-6205

Practice Phone: 915-282-1863
Practice Fax: 915-282-1863

1295667723 — SALEM BIDWELL
Practice Location Address:

1440 GEORGE DIETER DR
EL PASO, TX
79936-7601

Practice Phone: 210-447-0039
Practice Fax:

1710819289 — AITSHA BRAVO
Practice Location Address:

1351 N ZARAGOZA RD BLDG H
EL PASO, TX
79936-7902

Practice Phone: 915-257-5782
Practice Fax:

1679405039 — NICHOLAS ROYALS
Practice Location Address:

12330 PELLICANO DRIVE , SUITE B
EL PASO, TX
79936

Practice Phone: 915-613-5255
Practice Fax:

1033041421 — DELANEY SCHEIBE
Practice Location Address:

1440 GEORGE DIETER DR STE A
EL PASO, TX
79936-7601

Practice Phone: 726-800-6773
Practice Fax:

Directions to “ IDY MARGARITA WATERS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.