Provider Demographics
NPI:1477692465
Name:MASPONS, ALDO R (MD)
Entity Type:Individual
Prefix:DR
First Name:ALDO
Middle Name:R
Last Name:MASPONS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5959 GATEWAY BLVD W
Mailing Address - Street 2:SUITE 120
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-3331
Mailing Address - Country:US
Mailing Address - Phone:915-779-1716
Mailing Address - Fax:915-771-6496
Practice Address - Street 1:100 E SCHUSTER AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-3556
Practice Address - Country:US
Practice Address - Phone:915-929-7363
Practice Address - Fax:831-627-7667
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2019-03-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXP43492080P0206X
NM2006-0350208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX304715101Medicaid
TXTXB161924OtherMEDICARE