JUAN PABLO BACA


Address: 3949 Flamingo Dr, El Paso, TX 79902-1726
Phone: 9153098699

JUAN PABLO BACA (NPI# 1487009973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487009973
Entity Type Individual
Full Name JUAN PABLO BACA
Practice Address 3949 Flamingo Dr
El Paso
TX 79902-1726
Practice Telephone 9153098699
Mailing Telephone 9153098699
Enumeration Date 2016-05-03
Last Update Date 2016-05-03
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 373H00000X Day Training/Habilitation Specialist Nursing Service Related Providers

Office Location

Street Address 3949 FLAMINGO DR
City EL PASO
State TX
Zip Code 79902-1726

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1841672904 Norma Avitia Counselor 1225 E Cliff Dr Bldg 3, El Paso, TX 79902 2015-06-25
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Taxonomy Information

Taxonomy Code 373H00000X
Grouping Nursing Service Related Providers
Classification Day Training/Habilitation Specialist

Taxonomy Definition

Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154770865 Rebecca Wickenheiser Day Training/Habilitation Specialist 9668 Kathy Ave, El Paso, TX 79927-4116 2016-06-03
1083062442 Julia Crofford Day Training/Habilitation Specialist 11385 Bar Ranch Ct, El Paso, TX 79934-3227 2016-05-26
1508213919 Zayra Barrientos Day Training/Habilitation Specialist 1508 Coronel Dr, El Paso, TX 79928-6024 2016-05-17
1649624552 Rayna Cephas-jones Day Training/Habilitation Specialist 3216b Kerfoot St, El Paso, TX 79904-4228 2016-04-17
1790139764 Joanna Lopez Day Training/Habilitation Specialist 10305 Shannon Pl, El Paso, TX 79925-1620 2016-04-15
1588028369 Briana Nichole Moya Day Training/Habilitation Specialist 3749 Loma Jacinto Dr, El Paso, TX 79938-1233 2016-04-07
1568824662 Maria De La Luz Guzman Day Training/Habilitation Specialist 6308 Alina Baltazar, El Paso, TX 79932-1863 2016-03-28
1003275207 Sandy Veronica Zesati Day Training/Habilitation Specialist 7170 Royal Palm St, El Paso, TX 79912-7255 2016-02-16
1558734004 Christine Cartrite Day Training/Habilitation Specialist 225 Bagwell Ct, El Paso, TX 79932-3801 2015-11-05
1750750345 Griselda Higareda Day Training/Habilitation Specialist 15080 Karen Kay Dr, El Paso, TX 79938-8336 2015-09-24
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Competitor

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City EL PASO
Zip Code 79902

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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