| Los Cerros Medical Llc | |
|
812 N Virginia St Ste 211b El Paso TX 79902-5307 | |
| (915) 342-2839 | |
| Not Available |
| Full Name | Los Cerros Medical Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 812 N Virginia St Ste 211b, El Paso, Texas |
| Authorized Official Name and Position | Ricardo Swatts (ADMINISTRATOR) |
| Authorized Official Contact | 9154879923 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Los Cerros Medical Llc 812 N Virginia St Ste 211b El Paso TX 79902-5307 Ph: (915) 342-2839 | Los Cerros Medical Llc 812 N Virginia St Ste 211b El Paso TX 79902-5307 Ph: (915) 342-2839 |
| NPI Number | 1902549223 |
|---|---|
| Provider Enumeration Date | 04/14/2022 |
| Last Update Date | 05/06/2025 |
| Certification Date | 05/06/2025 |
| Medicare PECOS PAC ID | 9739568668 |
|---|---|
| Medicare Enrollment ID | O20220622003254 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902549223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Ricardo Swatts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679153779 PECOS PAC ID: 1658523824 Enrollment ID: I20210428000208 |
| Provider Name | Andrea Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508595976 PECOS PAC ID: 3678952504 Enrollment ID: I20220622003164 |
| Provider Name | Astrid Ortiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346077187 PECOS PAC ID: 8224563697 Enrollment ID: I20241121002577 |
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