Dejesus-Perdomo, Eduardo M

Dejesus-Perdomo, Eduardo M is an individual health care provider with primary practice located at 7812 Gateway Blvd E Ste 230, El Paso TX 79915-1802. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Dejesus-Perdomo, Eduardo M can be contacted via phone (915) 592-8223.

Contact Information

Primary practice address
7812 Gateway Blvd E Ste 230 El Paso TX 79915-1802
Fax: (915) 592-8328
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X J8988 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X J8988 Texas

Profile Details

NPI number 1639179690
LBN Legal business name Dejesus-Perdomo, Eduardo M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Jun 24th, 2026 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639179690 NPPES
Texas Other 8U6945 BCBS
Texas Other 110166787 BCBS
Texas MEDICAID 111685703 BCBS
Texas Other P00371198 BCBS
Texas MEDICAID 111685705 BCBS
Texas MEDICAID 52383822 BCBS
Texas MEDICAID 111685702 BCBS
Texas MEDICAID 111685704 BCBS
Texas Other 8AW610 BCBS

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