Provider Demographics
NPI:1598509978
Name:RAFAEL M CARDENAS MD PLLC
Entity type:Organization
Organization Name:RAFAEL M CARDENAS MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MAGDALENO
Authorized Official - Middle Name:RAFAEL
Authorized Official - Last Name:CARDENAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:915-667-3548
Mailing Address - Street 1:1373 COPPER GATE PL
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-7263
Mailing Address - Country:US
Mailing Address - Phone:915-667-3548
Mailing Address - Fax:
Practice Address - Street 1:12220 RC POE RD STE A
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79938-4921
Practice Address - Country:US
Practice Address - Phone:915-221-0289
Practice Address - Fax:915-221-0284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-21
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty