Ruben Mendoza Jr.
Individual provider Active NPI Case Manager/Care Coordinator · Lordsburg, NM
NPI 1285039719 · NPPES record last updated Feb 20, 2015
Key facts
- NPI
- 1285039719
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 332 East Motel Dr
Lordsburg, NM 83045 - Phone
- (575) 542-3304
- Fax
- (575) 542-3305
- NPI assigned
- Oct 27, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Frontera Center, Inc. Dba la Frontera New Mexico, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
332 East Motel Dr
Lordsburg, NM 83045
Mailing address
100 W Griggs Ave
Las Cruces, NM 88001-1234
Phone (575) 647-2800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18677037 | Medicaid | NM |
Other providers in Lordsburg, NM
- Leticia Guadalupe Lindsay
- Lordsburg Care Holdings LLC
- Lordsburg Health Facilities LP
- Ruth Marquez
- Yadalis Z Martinez
- Patricia M Mester
- Thomas Norris
- Korinne D Pacheco
- Ashley Cleve Peloyan
- Louis A. Pena
All providers in Lordsburg, NM · Case Manager/Care Coordinator in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.