| Raul Caudillo, FNP | |
|
4545 N Mesa St, El Paso, TX 79912-6121 | |
| (915) 500-6080 | |
| (915) 500-6090 |
| Full Name | Raul Caudillo |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 4545 N Mesa St, El Paso, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619589165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP146088 (Texas) | Primary |
| Entity Name | Luz A. Candelaria,d.o.p.a.,dba/candelaria Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285679936 PECOS PAC ID: 2264469402 Enrollment ID: O20050720000259 |
| Mailing Address | Practice Location Address |
|---|---|
| Raul Caudillo, FNP Po Box 221530, El Paso, TX 79913-4530 Ph: (915) 500-6080 | Raul Caudillo, FNP 4545 N Mesa St, El Paso, TX 79912-6121 Ph: (915) 500-6080 |
Ms. Luelen D Cunyus, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8269 N Loop Dr, El Paso, TX 79907 Phone: 915-591-1615 Fax: 915-591-2875 |
Mirabelle Nofeh, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11450 Gateway Blvd N Ste 1100, El Paso, TX 79934 Phone: 915-271-4635 |
Joseph Jeffrey Miller, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4801 Alberta Ave, El Paso, TX 79905 Phone: 915-215-5400 Fax: 915-215-8632 |
Andres Baeza, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1551 Montana Ave, El Paso, TX 79902 Phone: 915-887-3410 |
Bryan Botello, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4305 N Mesa St, El Paso, TX 79902 Phone: 915-532-2477 Fax: 915-242-6461 |
Imelda V Wallace, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11860 Vista Del Sol Dr Ste 150, El Paso, TX 79936 Phone: 915-808-4000 |
Kathryn Josephine Goss, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4845 Alameda Ave, El Paso, TX 79905 Phone: 915-298-5444 |