Active NPI
Gentle Care Pediatrics, LLC
- Pediatrics Physician
- Las Cruces, NM
National Provider Identifier
1033259353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- GENTLE CARE PEDIATRICS, LLC
- Practice address
- 2904 Hillrise Dr
Las Cruces, NM 88011-4702 - Phone
- (505) 532-5377
- Fax
- (505) 522-3772
- NPI assigned
- Feb 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marina Armendariz, M.D.
- Title
- Owner
- Phone
- (505) 532-5377
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
2904 Hillrise Dr
Las Cruces, NM 88011-4702
Mailing address
PO Box 1560
Las Cruces, NM 88004-1560
Phone (505) 647-8366
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 96385537 | Medicaid | NM |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/2975/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187136000000",
"number": "1033259353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1560",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880041560",
"telephone_number": "505-647-8366",
"fax_number": "505-647-8381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2904 HILLRISE DR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880114702",
"telephone_number": "505-532-5377",
"fax_number": "505-522-3772"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENTLE CARE PEDIATRICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-07",
"last_updated": "2007-08-15",
"status": "A",
"authorized_official_last_name": "ARMENDARIZ",
"authorized_official_first_name": "MARINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "505-532-5377",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "96385537",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.