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EDDIE ZEPEDA NPI 1003118050


NPI Information

NPI: 1003118050
Provider Name: EDDIE ZEPEDA

Doing Business As: PRIMECARE ORTHOTICS & PROSTHETICS

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1401 S DON ROSER DR STE E2
LAS CRUCES, NM
ZIP 88011
Phone: (575) 523-2273
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EDDIE ZEPEDA is a durable medical equipment medical supplies in Las Cruces, NM. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. EDDIE ZEPEDA NPI is 1003118050. The provider is registered as an organization entity type.
The provider Is Doing Business As Primecare Orthotics & Prosthetics.

The provider's business location address is:

1401 S DON ROSER DR STE E2
LAS CRUCES, NM
ZIP 88011-576
Phone: (575) 523-2273
Fax: (575) 526-2068

The provider's authorized official is Eddie Zepeda .
The authorized official title is Certified Orthotist/prosthetis and has the following contact phone number (575) 523-2273.

The enumeration date for this NPI number is 11/24/2010 and was last updated on 10/4/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
109176071MEDICAIDNEW MEXICO
22131956OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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