Provider Demographics
NPI:1518516830
Name:DELAPAZ, RUBEN HUERTA JR (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:DR
First Name:RUBEN
Middle Name:HUERTA
Last Name:DELAPAZ
Suffix:JR
Gender:M
Credentials:PHYSICAL THERAPIST
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:120 MONTEINE TRL
Mailing Address - Street 2:
Mailing Address - City:SUNLAND PARK
Mailing Address - State:NM
Mailing Address - Zip Code:88008-9345
Mailing Address - Country:US
Mailing Address - Phone:432-238-5310
Mailing Address - Fax:
Practice Address - Street 1:6201 NORTHERN PASS DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79911-7201
Practice Address - Country:US
Practice Address - Phone:915-706-2320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-09
Last Update Date:2024-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT017025225100000X
NMPT-2024-0093225100000X
TX1208755225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist