Cano Health New Mexico, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CANO HEALTH NEW MEXICO, LLC

Practice address

3251 Coors Blvd SW
Albuquerque, NM 87121-5203

Phone

(855) 226-6633

NPI assigned

Nov 12, 2021

Last updated

Nov 12, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

CANO HEALTH NEW MEXICO, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Marlow Blas Hernandez, DO

Title

Ceo

Phone

(954) 514-9360

Specialties & licenses 1

Addresses

Tax ID family

Cano Health New Mexico LLC2 organizations share this tax ID, including this one

Part of

Cano Health New Mexico LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Cano Health New Mexico, LLC

  • General Practice Physician
  • Albuquerque, NM
  • NPI 1164188223
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Cano Health New Mexico, LLC

  • General Practice Physician
  • Albuquerque, NM
  • NPI 1316511520
  NPPES parent name

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

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636675200000",
    "number": "1245996305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9725 NW 117TH AVE STE 200",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331781260",
            "telephone_number": "954-514-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 COORS BLVD SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871215203",
            "telephone_number": "855-226-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANO HEALTH NEW MEXICO, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CANO HEALTH NEW MEXICO, LLC",
        "enumeration_date": "2021-11-12",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MARLOW",
        "authorized_official_middle_name": "BLAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-514-9360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory E Cannon, DC
• Harmon Robert Cannon, DO
• Raymond Joe Cannon, M.D.
• Renetta Dawn Cannon, LSAA
• Cano Health New Mexico, LLC
• Cano Health New Mexico, LLC
• Sendy Ailin Cano- Moreno
• Flor Cano-Soto, LMSW
• Alyssa Cano
• Carlos A Cano, M.D.

• General Practice Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• General Practice Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.