Enrique Bueno, CONTRACTOR GENERAL

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

054569 Issued in NM

Practice address

8052 Grouse Run Dr
Las Cruces, NM 88012-9256

Phone

(575) 202-6972

Fax

(575) 526-4835

NPI assigned

Apr 25, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eandeconst.Co.

  • Home Modifications Contractor
  • Las Cruces, NM
  • NPI 1275999088
  NPD (past) Authorized official

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

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438041600000",
    "number": "1285054445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8052 GROUSE RUN DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880129256",
            "telephone_number": "575-202-6972",
            "fax_number": "575-526-4835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8052 GROUSE RUN DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880129256",
            "telephone_number": "575-202-6972",
            "fax_number": "575-526-4835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUENO",
        "first_name": "ENRIQUE",
        "credential": "CONTRACTOR GENERAL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-25",
        "last_updated": "2015-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "NM",
            "license": "054569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "E AND E CONSTRUCTION CO.",
            "identifier": "1285054445",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55076823",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marsha Carrigan Buchanan, MSSA, LISW, ACSW
• Sydney Buchanan
• Kenneth Buckley
• Buena Vida Home Health Inc
• Diana Buenning
• Robert Erik Buentello, PT, DPT
• Peter Michael Buffa Sr., M.D., PA
• Aaron Buffington
• Luke Robert Buffington
• Gabrielle Buhay

• Home Modifications Contractor in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Home Modifications Contractor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.

Verify at the official NPI Registry.