Individual
MR. ALFREDO MADRID JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1420 GERONIMO DR STE C, EL PASO, TX 79925-1855
(915) 343-9702
Mailing address
1420 GERONIMO DRIVE, BUILDING C, SUITE B, EL PASO, TX 79925-1855
(915) 343-9702
(915) 277-8661
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2019055884
TX
363LF0000X
Family Nurse Practitioner
Primary
AP144538
TX
Other
Enumeration date
11/11/2019
Last updated
03/07/2025
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