Dr Jose Luis De Anda, MD is a
Pediatrics physician based in Anthony, New Mexico. Dr Jose Luis De Anda is licensed to practice in New Mexico (license number 2002-1081) and his current practice location is 1265 Anthony Dr, Anthony, New Mexico. He can be reached at his office (for appointments etc.) via phone at
(505) 882-2956.
NPI number for Dr Jose Luis De Anda is 1386642528 and his current mailing address is Po Box 4530, Anthony, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1386642528.
Physician's Profile
Full Name | Dr Jose Luis De Anda |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 1265 Anthony Dr, Anthony, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1386642528
- Provider Enumeration Date: 07/12/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Jose Luis De Anda such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386642528 | NPI | - | NPPES |
1595985021 | Medicaid | TX | |
17907543 | Medicaid | NM | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 2002-1081 (New Mexico) | Primary |
208000000X | Pediatrics | L4904 (Texas) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jose Luis De Anda is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Jose Luis De Anda, MD Po Box 4530, Anthony, TX 79821-0047 Ph: (505) 882-2956 | Dr Jose Luis De Anda, MD 1265 Anthony Dr, Anthony, NM 88021 Ph: (505) 882-2956 |
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