| Ysleta Del Sur Pueblo Community Health Center | |
|
9473 Socorro Rd El Paso TX 79907 | |
| (915) 860-6113 | |
| (915) 860-6166 |
| Full Name | Ysleta Del Sur Pueblo Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 9473 Socorro Rd, El Paso, Texas |
| Authorized Official Name and Position | Martin Lopez (HHS DIRECTOR) |
| Authorized Official Contact | 9158581076 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ysleta Del Sur Pueblo Community Health Center 9473 Socorro Rd El Paso TX 79907-5619 Ph: (915) 858-1076 | Ysleta Del Sur Pueblo Community Health Center 9473 Socorro Rd El Paso TX 79907 Ph: (915) 860-6113 |
| NPI Number | 1144390147 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 02/28/2024 |
| Medicare PECOS PAC ID | 7517055015 |
|---|---|
| Medicare Enrollment ID | O20071116000507 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144390147 | NPI | - | NPPES |
| 092524001 | Medicaid | TX |
| Provider Name | Cecilia C De Vargas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225054513 PECOS PAC ID: 1951388479 Enrollment ID: I20040702000143 |
| Provider Name | Griselda Villalobos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821007113 PECOS PAC ID: 0941264824 Enrollment ID: I20041119000331 |
| Provider Name | Samuel H Favela |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245391754 PECOS PAC ID: 2769570522 Enrollment ID: I20071113000412 |
| Provider Name | Sarah Lynette Martin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033138664 PECOS PAC ID: 6507009115 Enrollment ID: I20130829000789 |
| Provider Name | Silvina Tonarelli De Maud |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265709000 PECOS PAC ID: 6901116789 Enrollment ID: I20151106000557 |
| Provider Name | Lorena Silvestre-tobias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356601132 PECOS PAC ID: 5395960264 Enrollment ID: I20151221001209 |
| Provider Name | Henry Vu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427461896 PECOS PAC ID: 6901195619 Enrollment ID: I20160519001901 |
| Provider Name | Viridiana Ortiz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225591472 PECOS PAC ID: 8820323165 Enrollment ID: I20190710000029 |
| Provider Name | Michael H Janes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487181129 PECOS PAC ID: 5799057196 Enrollment ID: I20210218000025 |
| Provider Name | Elisa Dobler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053060160 PECOS PAC ID: 2567859556 Enrollment ID: I20220421000707 |
| Provider Name | Syndy J Maynard |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679906127 PECOS PAC ID: 8224410436 Enrollment ID: I20220804002628 |
| Provider Name | Ankita Vishwamitra |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1376983494 PECOS PAC ID: 4385935725 Enrollment ID: I20221116000018 |
| Provider Name | Patrick M Jaeckle |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1508172412 PECOS PAC ID: 7315315116 Enrollment ID: I20221129002313 |
| Provider Name | Noami M Diaz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710026737 PECOS PAC ID: 2668815754 Enrollment ID: I20240206001102 |
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