Individual
DR. EDUARDO M DEJESUS-PERDOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7812 GATEWAY BLVD E, STE 230, EL PASO, TX 79915-1802
(915) 592-8223
(915) 592-8328
Mailing address
4445 N MESA ST STE 122, EL PASO, TX 79902-1117
(915) 219-4300
(915) 519-4300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
J8988
TX
207R00000X
Internal Medicine Physician
Primary
J8988
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110166787
MEDICARE RAILROAD
TX
05
—
111685702
—
TX
05
—
111685703
—
TX
05
—
111685704
—
TX
05
—
111685705
—
TX
05
—
52383822
—
NM
01
—
8AW610
BC/BS OF TEXAS
TX
01
—
8U6945
BCBS
TX
01
—
P00371198
RAILROAD
TX
Enumeration date
07/29/2005
Last updated
08/21/2025
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