Organization Active NPI

Internal Medicine Associates of New Mexico, PC

  • Internal Medicine Physician
  • Alamogordo, NM
National Provider Identifier
1316925316
Registry record updated Jun 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2002-0444 Issued in NM
Legal business name
INTERNAL MEDICINE ASSOCIATES OF NEW MEXICO, PC
Practice address
1101 9TH St.
Ste a
Alamogordo, NM 88310-6432
Phone
(575) 437-8411
Fax
(575) 443-1753
NPI assigned
Jan 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2012

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

Authorized official

Name
Mrs. Virginia Flores
Title
Office Manager
Phone
(575) 437-8411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 2002-0444 NM Primary

Addresses

Primary practice location

1101 9TH St.
Ste a
Alamogordo, NM 88310-6432

Mailing address

1101 9TH St.
Ste a
Alamogordo, NM 88310-6432
Phone (575) 437-8411

Other identifiers 1

IdentifierTypeStateIssuer
62029550MedicaidNM

Other names 1

  • Internal Medicine Assoc. of NM Other name

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338768000000",
    "number": "1316925316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 9TH ST.",
            "address_2": "STE A",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883106432",
            "telephone_number": "575-437-8411",
            "fax_number": "575-443-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 9TH ST.",
            "address_2": "STE A",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883106432",
            "telephone_number": "575-437-8411",
            "fax_number": "575-443-1753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE ASSOCIATES OF NEW MEXICO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-09",
        "last_updated": "2012-06-04",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "575-437-8411",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "2002-0444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "62029550",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Internal Medicine Assoc. of NM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Alamogordo, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; 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.