RUBEN R RONCALLO MD PA
NPI 1881004737
Clinic/Center - Primary Care in El Paso, TX

Active since April 30, 2014
4500 N MESA ST, EL PASO, TX 79912(915) 532-9000 Get Directions Write a Review

NPPES record last updated: April 30, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ruben R Roncallo Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUBEN R RONCALLO MD PA (NPI 1881004737) is a healthcare organization registered as a primary care in El Paso, Texas and active in the NPI registry since April 2014. The organization lists Edgardo Antonio Cera, Manager, as its authorized official.

NPPES Registry Identity

NPI1881004737
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameRUBEN R RONCALLO MD PA
Location Address4500 N MESA STEl Paso, TX 79912-6102
Mailing Address4500 N Mesa StEl Paso, TX 79912-6102
Organization SubpartNo
Authorized OfficialEdgardo Antonio CeraManager · (915) 532-9000
Enumeration DateApril 30, 2014
NPI 1881004737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in TX · K9162
4500 N MESA ST, El Paso, TX 79912

Other Identifiers 2

Medicare UPINH01300TX
Medicaid101868104TX

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Pediatrics)
4500 N MESA ST
EL PASO, TX 79912
Nurse Practitioner (Pediatrics)
4500 N MESA ST
EL PASO, TX 79912
Pediatrics
4500 N MESA ST
EL PASO, TX 79912
Nurse Practitioner (Family)
4500 N MESA ST
EL PASO, TX 79912
Nurse Practitioner (Pediatrics)
4500 N MESA ST
EL PASO, TX 79912
Pediatrics
4500 N MESA ST
EL PASO, TX 79912
Pediatrics (Adolescent Medicine)
4500 N MESA ST
EL PASO, TX 79912

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ruben R Roncallo MD PA's NPI number?

The NPI number for Ruben R Roncallo MD PA is 1881004737. It was assigned to this organization in the NPPES registry on April 30, 2014.

Where is Ruben R Roncallo MD PA located?

Ruben R Roncallo MD PA is located at 4500 N Mesa St, El Paso, TX 79912. The listed phone number is (915) 532-9000.

What is Ruben R Roncallo MD PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Ruben R Roncallo MD PA was last updated on April 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.