Provider Demographics
NPI:1255301834
Name:CALIANGA, CESAR RUPERTO (MD)
Entity Type:Individual
Prefix:
First Name:CESAR
Middle Name:RUPERTO
Last Name:CALIANGA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7812 GATEWAY BLVD E
Mailing Address - Street 2:SUITE 200
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79915-1803
Mailing Address - Country:US
Mailing Address - Phone:915-592-6868
Mailing Address - Fax:915-592-6889
Practice Address - Street 1:1505 MESCALERO DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-2019
Practice Address - Country:US
Practice Address - Phone:915-545-7247
Practice Address - Fax:915-772-0708
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-25
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ8941174400000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No174400000XOther Service ProvidersSpecialist