Organization Active NPI

Meraz Family Health LLC

  • Family Medicine Physician
  • Las Cruces, NM
National Provider Identifier
1245054857
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MERAZ FAMILY HEALTH LLC
Practice address
4131 Camino Coyote Ste C
Las Cruces, NM 88011-3000
Phone
(575) 800-7410
Fax
(575) 800-7199
NPI assigned
Nov 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Authorized official

Name
Rosa L Meraz, NPNPI 1184481038
Title
Owner/Provider
Phone
(575) 800-7410

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4131 Camino Coyote Ste C
Las Cruces, NM 88011-3000

Mailing address

6507 Chukar CT
Las Cruces, NM 88012-7084
Phone (575) 621-9689

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241205001399 NM Part B Supplier - Clinic/Group Practice 4880120534 Receives reassigned benefits from 1 practitioner
Practice locations: Las Cruces, NM

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2322509Meraz Family Health LLC4131 Camino Coyote Ste C, Las Cruces, NM 88011Certificate of waiverApr 21, 2027

National Provider Directory

National Provider Directory

Locations

4131 Camino Coyote
Ste C
Las Cruces, NM 88011
Phone (575) 800-7410

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1245054857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6507 CHUKAR CT",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880127084",
            "telephone_number": "575-621-9689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 CAMINO COYOTE STE C",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880113000",
            "telephone_number": "575-800-7410",
            "fax_number": "575-800-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERAZ FAMILY HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "MERAZ",
        "authorized_official_first_name": "ROSA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "575-800-7410",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "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 Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.