# TERESA R PINAROC MD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SUN VALLEY MEDICAL CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710978572
- **Authorized official:** DR. TERESA RUBIO PINAROC M.D. (PRESIDENT)
- **Authorized official phone:** (915) 613-3741

## Contact information

- **Practice address:** 11548 VISTA DEL SOL DR, EL PASO, TX 79936
- **Practice address phone:** (915) 613-3741
- **Practice address fax:** (915) 594-0566
- **Mailing address:** PO BOX 961509, EL PASO, TX 79996-1509
- **Mailing address phone:** (915) 613-3741
- **Mailing address fax:** (915) 594-0566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | K4983 | TX | Yes |

## Other

- **Enumeration date:** 11/01/2005
- **Last updated:** 02/14/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0022JL | BLUE CROSS BLUE SHIELD TX | TX |
| 01 | — | 08390465 | EL PASO FIRST HEALTH PLAN | TX |
| 01 | — | 110244615 | RAILROAD MEDICARE | TX |
| 05 | — | 154040301 | — | TX |
| 01 | — | 5916252 | AETNA | TX |
| 01 | — | 8A0578 | MEDICARE,INDIVIDUAL | TX |