| La Clinica De Familia Central Medical | |
|
575 S Alameda Blvd Las Cruces NM 88005-2818 | |
| (575) 528-6400 | |
| (575) 528-5539 |
| Full Name | La Clinica De Familia Central Medical |
|---|---|
| Speciality | Clinic/Center |
| Location | 575 S Alameda Blvd, Las Cruces, New Mexico |
| Authorized Official Name and Position | Virgil Medina (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5755261105 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| La Clinica De Familia Central Medical 385 Calle De Alegra Bldg. A Las Cruces NM 88005-3423 Ph: (575) 526-1105 | La Clinica De Familia Central Medical 575 S Alameda Blvd Las Cruces NM 88005-2818 Ph: (575) 528-6400 |
| NPI Number | 1528424397 |
|---|---|
| Provider Enumeration Date | 01/11/2016 |
| Last Update Date | 05/13/2021 |
| Medicare PECOS PAC ID | 6305745191 |
|---|---|
| Medicare Enrollment ID | O20031231000076 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528424397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Marian Landau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518962158 PECOS PAC ID: 4981506326 Enrollment ID: I20040124000411 |
| Provider Name | Cecilia M Tellez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881604122 PECOS PAC ID: 3173507811 Enrollment ID: I20040625000816 |
| Provider Name | Madelon Winters |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982712097 PECOS PAC ID: 0547219685 Enrollment ID: I20050117000065 |
| Provider Name | Lydia Macklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003812553 PECOS PAC ID: 3577513365 Enrollment ID: I20050128000880 |
| Provider Name | John Henry Reynolds |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1386639888 PECOS PAC ID: 0648207746 Enrollment ID: I20050720000630 |
| Provider Name | Jose L Flores |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043286586 PECOS PAC ID: 1557374105 Enrollment ID: I20060726000202 |
| Provider Name | Fabio Spadaro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093802894 PECOS PAC ID: 3274630728 Enrollment ID: I20070518000131 |
| Provider Name | Vittorio S Taleon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699869388 PECOS PAC ID: 8325020894 Enrollment ID: I20081120000283 |
| Provider Name | Rochelle A Sohl |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033126669 PECOS PAC ID: 3678562600 Enrollment ID: I20081219000017 |
| Provider Name | Eva P Aguilar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295909257 PECOS PAC ID: 8527115765 Enrollment ID: I20090406000208 |
| Provider Name | Gaston Berrios |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447450002 PECOS PAC ID: 3870623382 Enrollment ID: I20100610000113 |
| Provider Name | Daniel Armistead |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356346209 PECOS PAC ID: 1850416348 Enrollment ID: I20100921001094 |
| Provider Name | Jesus Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730400870 PECOS PAC ID: 3476679945 Enrollment ID: I20100922000632 |
| Provider Name | Mona R Waugh |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1326368093 PECOS PAC ID: 3476747411 Enrollment ID: I20101103000694 |
| Provider Name | Rita M Pacheco Gonzales |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679631857 PECOS PAC ID: 1658341961 Enrollment ID: I20110606000421 |
| Provider Name | German A Fierro Perez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568661247 PECOS PAC ID: 7810134343 Enrollment ID: I20130430000628 |
| Provider Name | Kathleen Cathey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003026279 PECOS PAC ID: 7719046788 Enrollment ID: I20130729000831 |
| Provider Name | Monica Moya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245559400 PECOS PAC ID: 5092940197 Enrollment ID: I20131025001409 |
| Provider Name | Danielle Fitzsimmons Pattison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235311788 PECOS PAC ID: 4587883178 Enrollment ID: I20140912001695 |
| Provider Name | Maria I Chavez-gonzales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659788339 PECOS PAC ID: 4688996762 Enrollment ID: I20141126000998 |
| Provider Name | Leticia Castillo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497162929 PECOS PAC ID: 9739403585 Enrollment ID: I20150127000224 |
| Provider Name | Yvette E Borde |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861899569 PECOS PAC ID: 3173847951 Enrollment ID: I20150127001457 |
| Provider Name | Alison L Clark |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1609858166 PECOS PAC ID: 2860471943 Enrollment ID: I20150611001023 |
| Provider Name | Maria Vanessa Menanteau |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1346576352 PECOS PAC ID: 0446562284 Enrollment ID: I20150707002848 |
| Provider Name | Jane Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497140230 PECOS PAC ID: 6800103417 Enrollment ID: I20150915001398 |
| Provider Name | Elizabeth I Fernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053628545 PECOS PAC ID: 9830492032 Enrollment ID: I20160121002037 |
| Provider Name | Estelle T Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588038558 PECOS PAC ID: 7416252903 Enrollment ID: I20160222000766 |
| Provider Name | Algele C Sumulong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992071716 PECOS PAC ID: 8921224635 Enrollment ID: I20160309002933 |
| Provider Name | Gustavo Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700242112 PECOS PAC ID: 9739470634 Enrollment ID: I20160623002416 |
| Provider Name | Malathi Pilla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649533696 PECOS PAC ID: 8426296559 Enrollment ID: I20161101001788 |
| Provider Name | Phillis B Newton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396094454 PECOS PAC ID: 7214216589 Enrollment ID: I20161110000141 |
| Provider Name | Briana J Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215488754 PECOS PAC ID: 7517249147 Enrollment ID: I20170117000184 |
| Provider Name | Brenda M Cuellar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811338452 PECOS PAC ID: 7416256458 Enrollment ID: I20170223002199 |
| Provider Name | Bertha L Contreras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063953859 PECOS PAC ID: 6305122474 Enrollment ID: I20170405000043 |
| Provider Name | Susan A Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750776555 PECOS PAC ID: 1557679842 Enrollment ID: I20170419002814 |
| Provider Name | Martina J Granado |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1386172021 PECOS PAC ID: 5991076911 Enrollment ID: I20170809000272 |
| Provider Name | Shailen Mhapsekar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558652149 PECOS PAC ID: 2264659788 Enrollment ID: I20170816002396 |
| Provider Name | Yeny A Bravo Pajuelo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770845109 PECOS PAC ID: 4688940265 Enrollment ID: I20171026001149 |
| Provider Name | Cynthia Ann Salazar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245404664 PECOS PAC ID: 1254560501 Enrollment ID: I20171128003100 |
| Provider Name | Maria Bagwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588003123 PECOS PAC ID: 2365700770 Enrollment ID: I20171212002531 |
| Provider Name | Joann M Cooke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609368828 PECOS PAC ID: 7719232438 Enrollment ID: I20180621001377 |
| Provider Name | Mary Helen Short |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275765638 PECOS PAC ID: 4587917265 Enrollment ID: I20181025002941 |
| Provider Name | Fernando Javier Guillen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861974024 PECOS PAC ID: 1052656196 Enrollment ID: I20181218003597 |
| Provider Name | Ghirmay Haile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336611169 PECOS PAC ID: 4385985639 Enrollment ID: I20190415000447 |
| Provider Name | Erika Lynn Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407843766 PECOS PAC ID: 4981938511 Enrollment ID: I20190701002224 |
| Provider Name | Maria Arellano Mendoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417198524 PECOS PAC ID: 2961551965 Enrollment ID: I20190808003980 |
| Provider Name | Amanda Curry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578081139 PECOS PAC ID: 0840528808 Enrollment ID: I20190828004053 |
| Provider Name | Brenda Alderete-aragon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770142465 PECOS PAC ID: 6507197175 Enrollment ID: I20191011002177 |
| Provider Name | Kelli E Giron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568838936 PECOS PAC ID: 7517392681 Enrollment ID: I20200117001268 |
| Provider Name | Robin Hopkins-wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386275741 PECOS PAC ID: 5597195537 Enrollment ID: I20200415001827 |
| Provider Name | Rebecca Joy Arciniega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861027179 PECOS PAC ID: 0547691685 Enrollment ID: I20200505003259 |
| Provider Name | Thomas Sanchez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275996480 PECOS PAC ID: 1456776475 Enrollment ID: I20200806003418 |
| Provider Name | Maria Montes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932558194 PECOS PAC ID: 3678999372 Enrollment ID: I20200812001177 |
| Provider Name | Erika Ann Milo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457639353 PECOS PAC ID: 5991125692 Enrollment ID: I20201019002726 |
| Provider Name | Areli Guajardo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356876817 PECOS PAC ID: 7315367034 Enrollment ID: I20201020000015 |
| Provider Name | Erika Pantoja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457840746 PECOS PAC ID: 2668707407 Enrollment ID: I20201229001922 |
| Provider Name | Leyna Inberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801255898 PECOS PAC ID: 9830498138 Enrollment ID: I20210119001771 |
| Provider Name | Melissa A Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558946871 PECOS PAC ID: 1658789763 Enrollment ID: I20210408002800 |
| Provider Name | Kathryn J. Schmidt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205390580 PECOS PAC ID: 3678981578 Enrollment ID: I20210414000416 |
| Provider Name | Steven R Ibanez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871958272 PECOS PAC ID: 0042611667 Enrollment ID: I20210702000094 |
| Provider Name | Joanna Victoria Rachelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457846370 PECOS PAC ID: 8224430657 Enrollment ID: I20210708000329 |
| Provider Name | Sandra Franco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588244040 PECOS PAC ID: 2860895661 Enrollment ID: I20210729003881 |
| Provider Name | Stephanie Margaret Peace |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1811423122 PECOS PAC ID: 0840560868 Enrollment ID: I20210914003347 |
| Provider Name | Pablo Juvencio Valerio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497358964 PECOS PAC ID: 6204233588 Enrollment ID: I20210929002205 |
| Provider Name | Leasette Marie Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144768417 PECOS PAC ID: 5698173706 Enrollment ID: I20211004002465 |
| Provider Name | Deanna Jaramillo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275058927 PECOS PAC ID: 9638577786 Enrollment ID: I20211005000668 |
| Provider Name | Chinyelu Chimezie Obi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861919854 PECOS PAC ID: 0345648325 Enrollment ID: I20211005002182 |
| Provider Name | Anna Louise White |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1417403544 PECOS PAC ID: 1759647191 Enrollment ID: I20211019000074 |
| Provider Name | Eric Robert Weber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184121576 PECOS PAC ID: 2365878915 Enrollment ID: I20211115000816 |
| Provider Name | Elizabeth Nixon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225526635 PECOS PAC ID: 4688923030 Enrollment ID: I20211119000591 |
| Provider Name | Angel Manuel Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750059242 PECOS PAC ID: 3870983547 Enrollment ID: I20211213000939 |
| Provider Name | Angelica Patricia Shaw |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942798962 PECOS PAC ID: 0042601924 Enrollment ID: I20220104000542 |
| Provider Name | Rosalva Blanco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487212874 PECOS PAC ID: 9638556525 Enrollment ID: I20220516000220 |
| Provider Name | Morgan Rachel Alexander |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1891351029 PECOS PAC ID: 0345579272 Enrollment ID: I20220520000083 |
| Provider Name | Natalia Mirabel Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306058193 PECOS PAC ID: 3072991793 Enrollment ID: I20220608000237 |
| Provider Name | Brittany Odom |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972965689 PECOS PAC ID: 2163843079 Enrollment ID: I20220822000441 |
| Provider Name | Kelly F Ruse |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1497256705 PECOS PAC ID: 8224412432 Enrollment ID: I20220907000186 |
| Provider Name | Maria L Brady |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831709534 PECOS PAC ID: 7911373055 Enrollment ID: I20221014001706 |
| Provider Name | Madison Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245758929 PECOS PAC ID: 6002282530 Enrollment ID: I20221025000024 |
| Provider Name | Keenon Sherrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992276273 PECOS PAC ID: 4880064054 Enrollment ID: I20230104001172 |
| Provider Name | Amelia Louise Furrow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558987677 PECOS PAC ID: 9931579059 Enrollment ID: I20230106001570 |
| Provider Name | Christine Roseann Idemudia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366192973 PECOS PAC ID: 8628433927 Enrollment ID: I20230419002839 |
| Provider Name | Teresa Lucia Samaniego |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952913378 PECOS PAC ID: 0941667364 Enrollment ID: I20230531000144 |
| Provider Name | Jose Manuel Galvez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083683080 PECOS PAC ID: 2365688777 Enrollment ID: I20230724002481 |
| Provider Name | Dara Anne Hicks Som |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699270397 PECOS PAC ID: 2264896190 Enrollment ID: I20230912000812 |
| Provider Name | Maria Guadalupe Ruiz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144841115 PECOS PAC ID: 1850713744 Enrollment ID: I20230929003597 |
| Provider Name | Rosanna Camarena |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598330631 PECOS PAC ID: 4880040740 Enrollment ID: I20231028000295 |
| Provider Name | Sabrina Maria Carter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487219077 PECOS PAC ID: 2163878711 Enrollment ID: I20231102001176 |
| Provider Name | Ijanae Holman-allgood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356978142 PECOS PAC ID: 2466809512 Enrollment ID: I20231110000518 |
| Provider Name | Priscilla Pedraza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659153856 PECOS PAC ID: 3375990468 Enrollment ID: I20231110002079 |
| Provider Name | Tammi Bone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265204861 PECOS PAC ID: 9830546522 Enrollment ID: I20231117001779 |
| Provider Name | Jacquelyn Brito |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255725222 PECOS PAC ID: 4082950167 Enrollment ID: I20240119003026 |
| Provider Name | Justin Benedict |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972551398 PECOS PAC ID: 4486638764 Enrollment ID: I20240124000076 |
| Provider Name | Edward Rudy Alvarez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396228334 PECOS PAC ID: 7517300999 Enrollment ID: I20240213002822 |
| Provider Name | Mayra Alvarez-bernal |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629609771 PECOS PAC ID: 7810331873 Enrollment ID: I20240216004110 |
| Provider Name | Marva Selene Fonseca |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932698289 PECOS PAC ID: 9133563166 Enrollment ID: I20240219001011 |
| Provider Name | Joseph J Mazzuca |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083389332 PECOS PAC ID: 1951745835 Enrollment ID: I20240219003428 |
| Provider Name | Nancy Yvette Lopez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982219093 PECOS PAC ID: 6103260906 Enrollment ID: I20240220004153 |
| Provider Name | Ruth H Housman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326004532 PECOS PAC ID: 7517256530 Enrollment ID: I20240220004564 |
| Provider Name | Irene Rodriguez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649719295 PECOS PAC ID: 1850735432 Enrollment ID: I20240222001605 |
| Provider Name | Faith M Mahoney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235208596 PECOS PAC ID: 6608210166 Enrollment ID: I20240223000529 |
| Provider Name | Jade Nicole Jenkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518596915 PECOS PAC ID: 5799121240 Enrollment ID: I20240307000845 |
| Provider Name | Corina Preciado |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1598088619 PECOS PAC ID: 9931545308 Enrollment ID: I20240307001669 |
| Provider Name | Dora Caro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346734738 PECOS PAC ID: 9931545316 Enrollment ID: I20240307002031 |
| Provider Name | Sara Mayela Ornelas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891559910 PECOS PAC ID: 1951740562 Enrollment ID: I20240416001530 |
| Provider Name | Rosa Lilia Meraz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184481038 PECOS PAC ID: 9234578519 Enrollment ID: I20240419000354 |
| Provider Name | Diana Mariscal |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922740455 PECOS PAC ID: 0547609539 Enrollment ID: I20240424000951 |
| Provider Name | Hoyden Callaway |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598079915 PECOS PAC ID: 4183950116 Enrollment ID: I20240425002316 |
| Provider Name | Oscar Alvarez-reyes |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1073970281 PECOS PAC ID: 8628418449 Enrollment ID: I20240426002356 |
| Provider Name | Cynthia League |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407215411 PECOS PAC ID: 1153761770 Enrollment ID: I20240430003025 |
| Provider Name | Brittney R Ramos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619384443 PECOS PAC ID: 4082054556 Enrollment ID: I20240501000545 |
| Provider Name | Eric Gomez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1851686315 PECOS PAC ID: 3173963550 Enrollment ID: I20240502000881 |
Southwest Center On Aging Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2467 S Telshor Blvd, Las Cruces, NM 88011 Phone: 575-647-8366 Fax: 575-647-8381 | |
Memorial Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2450 S Telshor Blvd, Las Cruces, NM 88011 Phone: 575-521-5385 | |
Harry Bass, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2425 S Telshor Blvd, Las Cruces, NM 88011 Phone: 575-522-0330 Fax: 575-522-8620 | |
Memorial Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2450 S Telshor Blvd, Las Cruces, NM 88011 Phone: 575-521-5385 | |
Rhsnm Physician Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4441 E Lohman Ave, Las Cruces, NM 88011 Phone: 575-521-6400 | |
Smart Care, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2801 Missouri Ave Ste 12, Las Cruces, NM 88011 Phone: 575-522-6900 Fax: 575-522-8891 | |
App Of New Mexico Hm Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4311 E Lohman Ave, Las Cruces, NM 88011 Phone: 575-556-7600 Fax: 629-216-0568 |