Alamogordo Nephrology

Organization Active NPI Specialist · Alamogordo, NM

NPI 1043371776 · NPPES record last updated Dec 5, 2011

Key facts

NPI
1043371776
Entity type
Organization (NPI type 2)
Primary specialty
Specialist 174400000X
License
A111499 (NM)
Legal business name
ALAMOGORDO NEPHROLOGY
Practice address
2474 Indian Wells Rd
Alamogordo, NM 88310
Phone
(915) 855-8519
Fax
(915) 849-8238
NPI assigned
Dec 13, 2006
Organization subpart
No

Authorized official

Name
Dr. Michael Alfonso Velasquez, D.O.
Title
President
Phone
(915) 855-8519

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

1212 9th St
Ste E
Alamogordo, NM 88310
Phone (505) 437-5716

225 E Idaho Ave
Las Cruces, NM 88005
Phone (505) 521-8080

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist
Group: 193400000X SINGLE SPECIALTY GROUP
174400000X A111499 NM Yes

Addresses

Primary practice location

2474 Indian Wells Rd
Alamogordo, NM 88310

Mailing address

935 Rim Rd
El Paso, TX 79902
Phone (915) 855-8519

Other identifiers

IdentifierTypeStateIssuer
71226MedicaidNM

Other providers in Alamogordo, NM

All providers in Alamogordo, NM · Specialist in New Mexico

Sources for this page

Verify at the official NPI Registry.