Ruben R Roncallo Md Pa

LBN: Ruben R Roncallo Md Pa
Ruben R Roncallo Md Pa is an health care organization with primary practice located at 4500 N Mesa St , El Paso TX 79912-6102. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Ruben R Roncallo Md Pa can be contacted via phone (915) 532-9000, or through Cera, Edgardo Antonio via phone (915) 532-9000.

Contact Information

Primary practice address
4500 N Mesa St El Paso TX 79912-6102
Phone: (915) 532-9000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cera, Edgardo Antonio
Phone: (915) 532-9000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X K9162 Texas

Profile Details

NPI number 1881004737
LBN Legal business name Ruben R Roncallo Md Pa
DBA Doing business as
Authorized official Cera, Edgardo Antonio
Entity Organization
Organization subpart 1 No
Enumeration date Apr 30th, 2014
Last updated Apr 30th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881004737 NPPES
Texas MEDICAID 101868104

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