MEDICARE: DR. GUILLERMO A PINZON MD

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	207R00000X	Internal Medicine Physician	TX5634	TX
2	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	TX5634	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	936296	OTHER	TX	MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1790774321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GUILLERMO A PINZON MD

Provider Business Mailing Address
First Line	:	1221 N COTTON ST STE 100
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-3015
Country	:	US
Telephone Number	:	915-592-7662
Fax Number	:	915-592-8680

Provider Business Practice Location Address
First Line	:	1221 N COTTON ST STE 100
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-3015
Country	:	US
Telephone Number	:	915-592-7662
Fax Number	:	915-592-8680

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

Provider Enumeration Date	:	10/17/2005
Last Update Date	:	05/18/2022

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Directions to “ DR. GUILLERMO A PINZON MD” Practice Location

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