Anthony R Alaniz, RN

Individual provider Active NPI Registered Nurse · Santa Fe, NM

NPI 1104583699 · NPPES record last updated Nov 19, 2021

Key facts

NPI
1104583699
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN-79560 (NM)
Practice address
1060 Cerrillos Rd
Santa Fe, NM 87505-1650
Phone
(505) 476-6414
NPI assigned
Nov 19, 2021
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN-79560NMMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Regional Education Cooperative Current
since Jul 21, 2024
Accepting new patients

Locations

1321 E Poplar St
Deming, NM 88030
Phone 5755465951 ext. 3005

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN-79560 NM Yes

Addresses

Primary practice location

1060 Cerrillos Rd
Santa Fe, NM 87505-1650

Mailing address

1321 E Poplar St
Deming, NM 88030-4807
Phone (575) 546-5951

Other providers in Santa Fe, NM

All providers in Santa Fe, NM · Registered Nurse in New Mexico

Sources for this page

Verify at the official NPI Registry.