Cano Health New Mexico, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CANO HEALTH NEW MEXICO, LLC

Practice address

2839 Carlisle Blvd NE
Albuquerque, NM 87110-2876

Phone

(855) 226-6633

NPI assigned

May 13, 2021

Last updated

May 13, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marlow B Hernandez, MDNPI 1568755221

Title

Ceo

Phone

(954) 514-9360

Specialties & licenses 1

Addresses

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Cano Health New Mexico, LLC

  • General Practice Physician
  • Albuquerque, NM
  • NPI 1164188223
  NPPES parent name
• Cano Health New Mexico, LLC

  • General Practice Physician
  • Albuquerque, NM
  • NPI 1245996305
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marlow Blas Hernandez, D.O., M.P.H.

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1568755221

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1316511520",
    "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": "954-432-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2839 CARLISLE BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871102876",
            "telephone_number": "855-226-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANO HEALTH NEW MEXICO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MARLOW",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-514-9360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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.
• Damon Neal Cano, PHARMD

• 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 May 13, 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.