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CASA ALEGRE PEDIATRICS LLC NPI 1568461911


NPI Information

NPI: 1568461911
Provider Name: CASA ALEGRE PEDIATRICS, LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
532 N TELSHOR BLVD
SUITE G
LAS CRUCES, NM
ZIP 88011
Phone: (505) 532-5912
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CASA ALEGRE PEDIATRICS, LLC is a pediatrics in Las Cruces, NM. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. CASA ALEGRE PEDIATRICS, LLC NPI is 1568461911. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

532 N TELSHOR BLVD
SUITE G
LAS CRUCES, NM
ZIP 88011-234
Phone: (505) 532-5912
Fax: (505) 532-5915

The provider's authorized official is Joanne M Ray .
The authorized official title is President and has the following contact phone number (505) 532-5912.

The enumeration date for this NPI number is 7/19/2005 and was last updated on 8/22/2020.


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
1208000000XPediatricsA105096NEW MEXICOYes

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
1J6791MEDICAIDNEW 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: 4/28/2024

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