| Southwest Center On Aging | |
|
2467 S Telshor Blvd Las Cruces NM 88011-5049 | |
| (575) 647-8366 | |
| (575) 647-8381 |
| Full Name | Southwest Center On Aging |
|---|---|
| Speciality | Internal Medicine |
| Location | 2467 S Telshor Blvd, Las Cruces, New Mexico |
| Authorized Official Name and Position | Jesus Roberto Duran (OWNER) |
| Authorized Official Contact | 5756478366 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Center On Aging Po Box 14232 Las Cruces NM 88013-4232 Ph: (575) 647-8366 | Southwest Center On Aging 2467 S Telshor Blvd Las Cruces NM 88011-5049 Ph: (575) 647-8366 |
| NPI Number | 1003143660 |
|---|---|
| Provider Enumeration Date | 11/03/2009 |
| Last Update Date | 11/03/2009 |
| Medicare PECOS PAC ID | 9830233378 |
|---|---|
| Medicare Enrollment ID | O20100222000225 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003143660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD2008-0053 (New Mexico) | Primary |
| Provider Name | Jesus R Duran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972714806 PECOS PAC ID: 6800996380 Enrollment ID: I20080804000114 |
| Provider Name | Eva P Aguilar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295909257 PECOS PAC ID: 8527115765 Enrollment ID: I20090406000208 |
| Provider Name | Mary P Leong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164850665 PECOS PAC ID: 4688801889 Enrollment ID: I20131214000149 |
| Provider Name | Selene Maria La Marca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396176319 PECOS PAC ID: 2365671187 Enrollment ID: I20140127000968 |
| Provider Name | Shannon L Rodriguez |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1316243736 PECOS PAC ID: 9234317645 Enrollment ID: I20140613000235 |
| Provider Name | Jose M Mendez Ramirez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841498375 PECOS PAC ID: 3678752813 Enrollment ID: I20160317000262 |
| Provider Name | Jaime Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093178766 PECOS PAC ID: 0840586848 Enrollment ID: I20160830002911 |
| Provider Name | Amy Elise Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619323284 PECOS PAC ID: 5890082671 Enrollment ID: I20160921002608 |
| Provider Name | Marren Onyalo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578911368 PECOS PAC ID: 6709160278 Enrollment ID: I20170228002142 |
| Provider Name | Cecilia Isolina Kasbohm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588172290 PECOS PAC ID: 5597026385 Enrollment ID: I20180216002283 |
| Provider Name | Melissa Ann Lefevre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619447430 PECOS PAC ID: 8325371313 Enrollment ID: I20190606000333 |
| Provider Name | Alejandra Pina Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972217859 PECOS PAC ID: 1759754492 Enrollment ID: I20230228003211 |
| Provider Name | Mary Elizabeth Younger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295513364 PECOS PAC ID: 5395183172 Enrollment ID: I20240401000043 |
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 |