Health & Human Services

Mission and Values
Acupuncture & Herbology
Dental Care
Family Medicine
Health Education Services
ID Update Forms
Laboratory Services
Optometry Care
Purchased Referral Care (PRC)
PRC Guidelines
The Department of Behavioral Health
Family Medicine

The Family Medicine Program works in collaboration with Pueblo leadership, spiritual leaders and the community to create a healthcare program that combines the traditional healing and practices of the Tigua People with modern western medicine. On the Pueblo, healthcare is a life-long effort supported by staying strong in all aspets of life --spiritually, mentally and physically.


The Family Medicine Program Includes:


  • Preventative Care
  • Immunizations
  • Flu Vaccine Clinic
  • Yearly Annual Physical exams/ Sport Physicals
  • Well Woman Exam
  • Family Planning Services/ Birth Control
  • Medical treatment of chronic illness and disease
  • Minor outpatient surgical procedures
  • Diabetic Foot Exams
  • Nutrition Guidance
  • Coordinated care with other sub-specialties as needed
  • Pediatric Care
  • Geriatric Care

      Left to Right: Ruby Paiz, Dr. Silvestre-Tobias and Norma Watkins


Currently, our medical staff is composed of a Family Medicine Physician and two Medical Assistants.  Dr. Lorena Silvestre-Tobias is a graduate from Boston University School of Medicine in Boston, MA and completed her training in Christus Spohn Family Medicine Residency Program in Corpus Christi, TX.  She is also a National Health Service Corps Scholar and is currently a member of the American Academy of Family Physicians and American Board of Family Medicine.  She holds multiple certifications including the following: Basic Life Support, Advanced Cardiopulmonary Life Support, Neonatal Life Support, Pediatric Advanced Life Support, Advanced Life Support in Obstetrics and Advanced Trauma Life Support.  She is a native El Pasoan, and has returned to the area to serve our tribal community.  Our Medical Assistants are Ruby Paiz and Norma Watkins.  Ruby is a graduate from Socorro High School and completed her medical assistant training in Western Tech in 2007.  Norma is a graduate from Hanks High School and completed her medical assistant training in Santa Clarita College in 2001.  The primary care staff is fully committed to improving the wellbeing of our tribal members.


Services Subject to Tigua Membership Eligibility

Health and Human Services:

9314 Juanchido
El Paso, TX 79907

Monday-Friday (8-5pm)