MR. RUBEN ANDY MEDINA (NPI# 1609437946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609437946 |
| Entity Type | Individual |
| Full Name | MR. RUBEN ANDY MEDINA |
| Credential | LMSW |
| Practice Address |
179 Vinson Way El Paso TX 79915-4227 |
| Practice Telephone | 9155404999 |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2019-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326331307 | Ruben Medina | Counselor | 2535 Kettner Blvd, San Diego, CA 92101-1250 | 2011-05-24 |
| 1992836324 | Ruben Medina Sr. | Counselor | 4701 E. Cesar Chavez Ave., Los Angeles, CA 90022 | 2007-03-08 |
| Street Address |
179 VINSON WAY |
| City | EL PASO |
| State | TX |
| Zip Code | 79915-4227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164081527 | Sandra Juarez | Licensed Vocational Nurse | 173 Coronado Rd #1008 Bldg 1, El Paso, TX 79915 | 2019-06-10 |
| 1356850861 | Md Shahaduzzaman | Nurse Practitioner | 7812 Gateway Blvd. East, Suite 110, El Paso, TX 79915 | 2017-09-27 |
| 1801247473 | Laura Alejandra Moreno Garcia | Pediatrics | 6974 Gateway Blvd E Ste F, El Paso, TX 79915 | 2016-06-24 |
| 1699133801 | El Paso Oral Surgery Center, Pllc | Dentist | 7878 Gateway Blvd East, Suite 301, El Paso, TX 79915 | 2016-02-02 |
| 1851763296 | Shela Marie Carter | Counselor | 7833 Corozal Dr., El Paso, TX 79915 | 2015-10-26 |
| 1841680691 | Texan Procedure Center, LLC | Clinic/Center | 7924 Gateway Blvd E Ste 150j, El Paso, TX 79915 | 2015-02-02 |
| 1356749105 | Walter Nongmo Zimoh | Pharmacist | 8045 North Loop Drive, El Paso, TX 79915 | 2014-12-10 |
| 1073918892 | Edgar B Reyes | Home Health | 183 Edith Dr., El Paso, TX 79915 | 2014-10-23 |
| 1275934408 | Sonia Esther Cortez | Counselor | 7722 North Loop, Suite 5, El Paso, TX 79915 | 2014-09-08 |
| 1336570704 | Elsa Erika Gomez | Counselor | 7722 Northloop, El Paso, TX 79915 | 2013-12-10 |
| Find all providers in zip 79915 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598371791 | Miriam Leticia Munoz | Physician Assistant | 646 Mike Carbajal Rd, El Paso, TX 79927-2149 | 2020-09-22 |
| 1184264541 | Rodrigo Carrasco | Physician Assistant | 7560 Wolf Creek Dr, El Paso, TX 79911-3143 | 2020-01-13 |
| 1134764558 | Andrea Pilar Stam | Physician Assistant | 5005 N. Piedras Street; Attn, Wbamc, El Paso, TX 79920-5001 | 2019-11-08 |
| 1326680786 | Lori Evelyn Berumen | Physician Assistant | 7100 Westwind Dr Ste 120, El Paso, TX 79912-1757 | 2019-10-17 |
| 1790344331 | Alexandra Apodaca | Physician Assistant | 1641 Bessemer Dr, El Paso, TX 79936-5226 | 2019-06-07 |
| 1427518901 | Danielle Hicks | Physician Assistant | 2496 Ricker Rd., El Paso, TX 79916 | 2019-03-21 |
| 1023586211 | Erica Guerrero | Physician Assistant | 4801 Alberta Ave Ste B-3200, El Paso, TX 79905-2707 | 2018-11-06 |
| 1366919391 | Jeffrey Aaron Hobbs | Physician Assistant | 5005 N. Piedras Street, Attn;, Wbamc, El Paso, TX 79920-5001 | 2018-10-29 |
| 1720580764 | Sungil Hwang | Physician Assistant | 11200 Sean Haggerty Dr Apt 18208, El Paso, TX 79934-3386 | 2018-03-06 |
| 1497287155 | Assisting Alliance L.L.C. | Physician Assistant | 14048 Oso Rock Way, El Paso, TX 79938 | 2017-03-31 |
| Find all providers in EL PASO | ||||
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| 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.