| NPI | 1205046752 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2007-05-23 |
| Last Updated | 2023-09-14 |
| Mailing Address | Po Box 961783 El Paso, TX 79996-1783 United States Phone: (915) 777-3151 | Fax: (915) 855-6111 📍 View Map |
| Primary Practice Address | 11880 Vista Del Sol Dr Ste B El Paso, TX 79936-6128 United States Phone: (915) 777-3151 | Fax: (915) 855-6111 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | TX | 193400204 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207R00000X – Internal Medicine | TX | M7650 |
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About NPI 1205046752
Jaime Holberton Square M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1205046752. The primary specialty listed is Internal Medicine. The provider is located in El Paso, TX. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-05-23. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1205046752?
NPI 1205046752 belongs to Jaime Holberton Square M.D., a Internal Medicine in El Paso, TX. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1205046752 active?
The current status of NPI 1205046752 in the NPPES registry is Active. The record was last updated on 2023-09-14.
What specialty is NPI 1205046752?
NPI 1205046752 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1205046752?
You can verify NPI 1205046752 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1205046752?
The primary practice address on file for NPI 1205046752 is 11880 Vista Del Sol Dr Ste B, El Paso, TX 79936-6128. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1205046752 issued?
NPI 1205046752 was first issued (enumerated) on 2007-05-23. The NPPES record was last updated on 2023-09-14.
Practice Location Map
Jaime Holberton Square is located at 11880 Vista Del Sol Dr Ste B, El Paso, TX. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Jaime Holberton Square. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1205046752. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine | M7650 | TX |