Southern New Mexico Medical Association, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SOUTHERN NEW MEXICO MEDICAL ASSOCIATION, PA

Practice address

303 W. Country Club Rd
Roswell, NM 88201

Phone

(505) 623-1442

Fax

(505) 623-3835

NPI assigned

Jul 6, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Karla Flores

Title

Billing Manager

Phone

(505) 623-1442

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1124059985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 W. COUNTRY CLUB RD",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "88201",
            "telephone_number": "505-623-1442",
            "fax_number": "505-623-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 W. COUNTRY CLUB RD",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "88201",
            "telephone_number": "505-623-1442",
            "fax_number": "505-623-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN NEW MEXICO MEDICAL ASSOCIATION, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "505-623-1442"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B4745",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Ann Solis, M.S. CCC-SLP
• Louriz Soto
• Southeastern New Mexico Speech and Hearing Clinic
• Southeastern New Mexico Surgical Center, LLC
• Southern Counseling and Psychological Services LLC
• Tina J Southward, PAC
• Southwest Ambulance of New Mexico
• Southwest C a R E Center
• Southwest Medical Associates, LLC
• Kathleen Sova

• Internal Medicine Physician in Roswell, NM
• Providers in Roswell, NM by specialty
• Internal Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.

Verify at the official NPI Registry.