ISAAC ADRIAN BENCOMO BERMUDEZ


Address: 2418 N Kansas St Apt A, El Paso, TX 79902-3104
Phone: 9154331291

ISAAC ADRIAN BENCOMO BERMUDEZ (NPI# 1932723541) 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) 1932723541
Entity Type Individual
Full Name ISAAC ADRIAN BENCOMO BERMUDEZ
Credential APRN CPNP-PC
Practice Address 2418 N Kansas St Apt A
El Paso
TX 79902-3104
Practice Telephone 9154331291
Mailing Telephone 9154331291
Enumeration Date 2020-05-31
Last Update Date 2020-05-31
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WP0200X Registered Nurse
Specialization: Pediatrics
860434 TX Nursing Service Providers
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
AP141902 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2418 N KANSAS ST APT A
City EL PASO
State TX
Zip Code 79902-3104

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1609306992 Vidanta Personal Assistance Services Inc Nursing Care 1801 E Yandell Dr, El Paso, TX 79902 2017-06-19
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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 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255994174 Priscilla Aguilar-hernandez Nurse Practitioner 10870 Gateway Blvd N Ste B, El Paso, TX 79924-1802 2019-04-16
1639659337 Idali Barraza Cooper Nurse Practitioner 11331 James Watt Dr Ste 600, El Paso, TX 79936-6401 2018-08-21
1619477809 Stephanie Lynn Baldwin Nurse Practitioner 5036 Gold Ranch Ave, El Paso, TX 79934-2859 2018-02-14
1073048922 Deborah Sample Nurse Practitioner 701 Nita Fay Dr, El Paso, TX 79912-1401 2017-04-28
1144751223 Heather Louise Saucedo Nurse Practitioner 11577 James Grant Dr, El Paso, TX 79936-5417 2017-03-21
1053854307 Tanya Louise Alvarez Nurse Practitioner 4845 Alameda, El Paso Children's Hospital, El Paso, TX 79905 2016-11-18
1629437447 Sandra Rebekah Flores Nurse Practitioner 2431 Pittsburg Ave, El Paso, TX 79930-1125 2016-02-22
1730547985 Lourdes Guadalupe Alvarez Nurse Practitioner 1344 Backus St, El Paso, TX 79925-6605 2016-02-03
1396102778 Vanessa Velez Nurse Practitioner 4845 Alameda Avenue, El Paso, TX 79905 2016-01-15
1609272962 Klaudia S. Gutierrez Nurse Practitioner 11026 Vista Del Sol Dr, El Paso, TX 79935-4314 2014-11-14
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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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