# LOS CERROS MEDICAL LLC

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

## Provider details

- **NPI number:** 1902549223
- **Authorized official:** RICARDO SWATTS NP (ADMINISTRATOR)
- **Authorized official phone:** (915) 487-9923

## Contact information

- **Practice address:** 812 N VIRGINIA ST STE 211B, EL PASO, TX 79902-5307
- **Practice address phone:** (915) 342-2839
- **Mailing address:** 812 N VIRGINIA ST STE 211B, EL PASO, TX 79902-5307
- **Mailing address phone:** (915) 342-2839

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0805X | Geriatric Psychiatry Physician | — | NULL | — |
| 2084P0805X | Geriatric Psychiatry Physician | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/14/2022
- **Last updated:** 05/06/2025