Active NPI
Raymond Trujillo
- Durable Medical Equipment & Medical Supplies
- Las Cruces, NM
National Provider Identifier
1265754477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 03-179647-00-8
- Practice address
- 1685 S Don Roser Dr
Suite D
Las Cruces, NM 88011-4586 - Phone
- (575) 541-4409
- Fax
- (575) 541-4452
- NPI assigned
- Feb 16, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 03-179647-00-8 | NM | Primary |
Addresses
Primary practice location
1685 S Don Roser Dr
Suite D
Las Cruces, NM 88011-4586
Mailing address
1685 S Don Roser Dr
Suite D
Las Cruces, NM 88011-4586
Phone (575) 541-4409
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448409600000",
"number": "1265754477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1685 S DON ROSER DR",
"address_2": "SUITE D",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880114586",
"telephone_number": "575-541-4409",
"fax_number": "575-541-4452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1685 S DON ROSER DR",
"address_2": "SUITE D",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880114586",
"telephone_number": "575-541-4409",
"fax_number": "575-541-4452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUJILLO",
"first_name": "RAYMOND",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-16",
"last_updated": "2015-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NM",
"license": "03-179647-00-8",
"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 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.