MEDICARE: WEST EL PASO HEALTHCARE OPERATIONS

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	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1982236261
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEST EL PASO HEALTHCARE OPERATIONS

Provider Business Mailing Address
First Line	:	239 AVE ARTERIAL HOSTOS STE 606
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00918-1347
Country	:	US
Telephone Number	:	787-232-0550
Fax Number	:

Provider Business Practice Location Address
First Line	:	7441 PASEO DEL NORTE
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79911-3158
Country	:	US
Telephone Number	:	915-842-8720
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	LLOYD DOUGLAS
Credential	:
Telephone Number	:	787-232-0550

Provider Enumeration Date	:	02/05/2020
Last Update Date	:	02/05/2020

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Directions to “WEST EL PASO HEALTHCARE OPERATIONS ” Practice Location

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