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Organization
LOS CERROS MEDICAL LLC
Active
Organization
LOS CERROS MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO SWATTS NP (ADMINISTRATOR)
(915) 487-9923
Entity
Organization
Contact information
Practice address
812 N VIRGINIA ST STE 211B, EL PASO, TX 79902-5307
(915) 342-2839
Mailing address
812 N VIRGINIA ST STE 211B, EL PASO, TX 79902-5307
(915) 342-2839
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
—
NULL
2084P0805X
Geriatric Psychiatry Physician
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/14/2022
Last updated
05/06/2025
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