Active NPI
Jose Cruz Zavala, MSW
- Social Worker
- Roswell, NM
National Provider Identifier
1023618436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- X-11685
- Practice address
- 72 Gail Harris St
Roswell, NM 88203-8116 - Phone
- (575) 347-3410
- Fax
- (575) 347-5177
- NPI assigned
- Oct 27, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | X-11685 | NM | Primary |
Addresses
Primary practice location
72 Gail Harris St
Roswell, NM 88203-8116
Mailing address
3210 W Bland St
Roswell, NM 88203-1279
Phone (575) 840-5911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X-11685 | NM | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1023618436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3210 W BLAND ST",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882031279",
"telephone_number": "575-840-5911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 GAIL HARRIS ST",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882038116",
"telephone_number": "575-347-3410",
"fax_number": "575-347-5177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAVALA",
"first_name": "JOSE",
"middle_name": "CRUZ",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-27",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "X-11685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roswell, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.