Provider Demographics
NPI:1548480312
Name:PENARANDA, ERIBETH K (MD)
Entity type:Individual
Prefix:
First Name:ERIBETH
Middle Name:K
Last Name:PENARANDA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 9520
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79995-9520
Mailing Address - Country:US
Mailing Address - Phone:915-757-3178
Mailing Address - Fax:915-751-4378
Practice Address - Street 1:9849 KENWORTHY ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79924-4402
Practice Address - Country:US
Practice Address - Phone:915-757-3178
Practice Address - Fax:915-751-4378
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2013-01-17
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Provider Licenses
StateLicense IDTaxonomies
NMMD20070063207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine