Active NPI
Luis H Fuentes, CSW
- Case Manager/Care Coordinator
- Alamogordo, NM
National Provider Identifier
1073222436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 2360 Indian Wells Rd
Alamogordo, NM 88310-4609 - Phone
- (575) 437-7404
- NPI assigned
- Nov 15, 2022
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
2360 Indian Wells Rd
Alamogordo, NM 88310-4609
Mailing address
2360 Indian Wells Rd
Alamogordo, NM 88310-4609
Phone (575) 437-7404
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497462592 | Medicaid | NM |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PMS Presbyterian Medical Services | Case Manager/Care Coordinator | Current | Accepting new patients |
| PMS Presbyterian Medical Services | Current | Accepting new patients |
Locations
2360 Indian Wells Rd
Alamogordo, NM 88310
Phone (575) 437-7404
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Case Manager/Care Coordinator
- Alamogordo, NM
- NPI 1497462592
-
- Case Management Agency
- Alamogordo, NM
- NPI 1306555776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669075200000",
"number": "1073222436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2360 INDIAN WELLS RD",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883104609",
"telephone_number": "575-437-7404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2360 INDIAN WELLS RD",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883104609",
"telephone_number": "575-437-7404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUENTES",
"first_name": "LUIS",
"middle_name": "H",
"credential": "CSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-15",
"last_updated": "2022-11-22",
"certification_date": "2022-11-22",
"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": "1497462592",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Alamogordo, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.