Individual provider · NPI-1

Leonardo Marin, CCP

Perfusionist · El Paso, TX

NPI number1972437085
StatusActive
Last updated in NPPESJun 12, 2026

Details

NPI
1972437085
Entity type
Individual (NPI-1)
Name
Leonardo Marin
Credential
CCP
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 12, 2026
Certification date
Jun 12, 2026
Last updated
Jun 12, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
242T00000X PerfusionistFPF00001214TXYes

Practice location

1625 Medical Center Dr
El Paso, TX 79902-5005

Phone 915-314-3625

Mailing address

7448 Cimarron Rim Dr
El Paso, TX 79911-4004

Phone 915-314-3625

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