Individual
MR. CARLOS CRISTOBAL AMAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5005 N PIEDRAS ST, EL PASO, TX 79920
(915) 742-6068
Mailing address
11436 ARDELLE AVE, EL PASO, TX 79936-2400
(915) 255-8938
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN- 45487
HI
367500000X
Certified Registered Nurse Anesthetist
599359
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP110997
TX
Other
Enumeration date
01/23/2006
Last updated
12/13/2021
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