Provider Demographics
NPI:1396196952
Name:VALVERDE MARRUFO, ERICK EDUARDO
Entity Type:Individual
Prefix:
First Name:ERICK
Middle Name:EDUARDO
Last Name:VALVERDE MARRUFO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 N FESTIVAL DR
Mailing Address - Street 2:APT 1208
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-6203
Mailing Address - Country:US
Mailing Address - Phone:915-227-0983
Mailing Address - Fax:
Practice Address - Street 1:350 N FESTIVAL DR
Practice Address - Street 2:APT 1208
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-6203
Practice Address - Country:US
Practice Address - Phone:915-227-0983
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-24
Last Update Date:2016-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other