Melanie J Lucero

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

415 Park St
Socorro, NM 87801-4543

Phone

(575) 838-7614

Fax

(575) 838-0508

NPI assigned

Jan 29, 2018

Last updated

Nov 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1013415637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 STALLION CIR",
            "city": "SOCORRO",
            "state": "NM",
            "postal_code": "878014454",
            "telephone_number": "575-418-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 PARK ST",
            "city": "SOCORRO",
            "state": "NM",
            "postal_code": "878014543",
            "telephone_number": "575-838-7614",
            "fax_number": "575-838-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCERO",
        "first_name": "MELANIE",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-29",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42721733",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruby Lopez
• Tonya Natalie Lopez, CNP
• June Lucero, PHARMD
• Marian T Lucero, DDS
• Matthew David Lucero, MD
• M Mountain Transportation LLC
• Evangel Maldonado
• Rodolfo Adrian Maldonado
• Shelby M Manno, CPNP
• Dawn Lea Marion, CRNP

• Case Manager/Care Coordinator in Socorro, NM
• Providers in Socorro, NM by specialty
• Case Manager/Care Coordinator in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.