Active NPI
Memorial Medical Center
- Family Medicine Physician
- Las Cruces, NM
National Provider Identifier
1114367729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- RS2013-0382
- Legal business name
- MEMORIAL MEDICAL CENTER
- Practice address
- 2450 S Telshor Blvd
Las Cruces, NM 88011-5069 - Phone
- (575) 521-5385
- NPI assigned
- Jun 27, 2013
- Last updated
- Jun 27, 2013
- 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. Brenda M Cuellar de Orellana, MD
- Title
- Resident
- Phone
- (713) 445-6005
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | RS2013-0382 | NM | Primary |
Addresses
Primary practice location
2450 S Telshor Blvd
Las Cruces, NM 88011-5069
Mailing address
2450 S Telshor Blvd
Las Cruces, NM 88011-5069
Phone (575) 521-5385
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1372291200000",
"number": "1114367729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 S TELSHOR BLVD",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880115069",
"telephone_number": "575-521-5385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 S TELSHOR BLVD",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880115069",
"telephone_number": "575-521-5385"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEMORIAL MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-27",
"last_updated": "2013-06-27",
"status": "A",
"authorized_official_last_name": "CUELLAR DE ORELLANA",
"authorized_official_first_name": "BRENDA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "RESIDENT",
"authorized_official_telephone_number": "713-445-6005",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "RS2013-0382",
"primary": true
}
],
"identifiers": [],
"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 Jun 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.