MEDICARE: RODRIGO J. ALFARO M.D.

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	BP10031809	TX
2	207RN0300X	Nephrology Physician	MD60353449	WA
3	207RN0300X	Nephrology Physician	R9175	TX
4	207R00000X	Internal Medicine Physician	MD2022-0383	NM
5	207R00000X	Internal Medicine Physician	44352	KY

General Provider Information

NPI Number	:	1942464151
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RODRIGO J. ALFARO M.D.

Provider Business Mailing Address
First Line	:	1566 LOMALAND DRIVE
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79935-4202
Country	:	US
Telephone Number	:	915-544-7767
Fax Number	:	915-532-6938

Provider Business Practice Location Address
First Line	:	1566 LOMALAND DRIVE
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79935-4202
Country	:	US
Telephone Number	:	915-544-7767
Fax Number	:	915-532-6938

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

Provider Enumeration Date	:	07/16/2008
Last Update Date	:	12/10/2025

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