EDUARDO A CASTREJON MD PA NPI 1750315917

NPI Information

NPI: 1750315917
Provider Name: EDUARDO A CASTREJON MD PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1205 S SOLANO DR
LAS CRUCES, NM
ZIP 88001
Phone: (505) 524-9119
Get Directions

EDUARDO A CASTREJON MD PA is a family medicine in Las Cruces, NM. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. EDUARDO A CASTREJON MD PA NPI is 1750315917. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1205 S SOLANO DR
LAS CRUCES, NM
ZIP 88001-755
Phone: (505) 524-9119
Fax: (505) 525-1889

The provider's authorized official is Eduardo Arturo Castrejon .
The authorized official title is Solo Propietor and has the following contact phone number (505) 524-9119.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 12/8/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		NM82-19	NEW MEXICO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2133175	MEDICARE ID-TYPE UNSPECIFIED	NEW MEXICO
2	201001583	MEDICAID	NEW MEXICO
3	0505	OTHER	NEW MEXICO	BCBS
4	85044261	MEDICAID	NEW MEXICO
5	8656	MEDICAID	NEW MEXICO
6	E07866	MEDICARE UPIN	NEW MEXICO
7	=========	MEDICAID	NEW MEXICO

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

NPI Synchronization or Removal

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