# GREEN MOUNTAIN VISITING PHYSICIANS AND ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235736075
- **Authorized official:** ROBERTO FLORES (ADMINISTRATOR/CEO/CFO)
- **Authorized official phone:** (915) 276-0865

## Contact information

- **Practice address:** 2311 N MESA ST STE H, EL PASO, TX 79902-3575
- **Practice address phone:** (915) 500-4883
- **Practice address fax:** (915) 275-5510
- **Mailing address:** 2311 N MESA ST STE H, EL PASO, TX 79902-3575
- **Mailing address phone:** (915) 500-4883

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PH0002X | Hospice and Palliative Medicine (Emergency Medicine) Physician | — | NULL | — |
| 207PH0002X | Hospice and Palliative Medicine (Emergency Medicine) Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207RH0002X | Hospice and Palliative Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RH0002X | Hospice and Palliative Medicine (Internal Medicine) Physician | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251G00000X | Community Based Hospice Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 10/05/2020
- **Last updated:** 12/01/2022