Provider Demographics
NPI:1316736994
Name:ORTHOEDGE ORTHOPEDICS AND SPORTS MEDICINE
Entity type:Organization
Organization Name:ORTHOEDGE ORTHOPEDICS AND SPORTS MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHOPEDIC SURGEON
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ARROYO SIFUENTES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:915-780-3909
Mailing Address - Street 1:6259 FRANKLIN DOVE AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-7703
Mailing Address - Country:US
Mailing Address - Phone:915-780-3909
Mailing Address - Fax:
Practice Address - Street 1:1071 COUNTRY CLUB RD STE P
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79932-3100
Practice Address - Country:US
Practice Address - Phone:915-490-6896
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty