| Sun Valley Medical Clinic | |
|
11548 Vista Del Sol Dr El Paso TX 79936 | |
| (915) 613-3741 | |
| (915) 594-0566 |
| Full Name | Sun Valley Medical Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 11548 Vista Del Sol Dr, El Paso, Texas |
| Authorized Official Name and Position | Teresa Rubio Pinaroc (PRESIDENT) |
| Authorized Official Contact | 9156133741 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sun Valley Medical Clinic Po Box 961509 El Paso TX 79996-1509 Ph: (915) 613-3741 | Sun Valley Medical Clinic 11548 Vista Del Sol Dr El Paso TX 79936 Ph: (915) 613-3741 |
| NPI Number | 1710978572 |
|---|---|
| Provider Enumeration Date | 11/01/2005 |
| Last Update Date | 02/14/2011 |
| Medicare PECOS PAC ID | 5496775173 |
|---|---|
| Medicare Enrollment ID | O20051123000461 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710978572 | NPI | - | NPPES |
| 0022JL | Other | TX | BLUE CROSS BLUE SHIELD TX |
| 5916252 | Other | TX | AETNA |
| 110244615 | Other | TX | RAILROAD MEDICARE |
| 154040301 | Medicaid | TX | |
| 08390465 | Other | TX | EL PASO FIRST HEALTH PLAN |
| 8A0578 | Other | TX | MEDICARE,INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | K4983 (Texas) | Primary |
| Provider Name | Maria Teresa Rubio-pinaroc |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043420524 PECOS PAC ID: 2860453792 Enrollment ID: I20051123000504 |
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