Derek Ross
Individual provider Active NPI Case Manager/Care Coordinator · Rio Communities, NM
NPI 1336918879 · NPPES record last updated Dec 26, 2023
Key facts
- NPI
- 1336918879
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 329 Godfrey Ave
Rio Communities, NM 87002-6310 - Phone
- (951) 233-4302
- NPI assigned
- Dec 26, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
329 Godfrey Ave
Rio Communities, NM 87002-6310
Mailing address
329 Godfrey Ave
Rio Communities, NM 87002-6310
Phone (951) 233-4302
Other providers in Rio Communities, NM
- Maria Justus
- Shannon Lee Kmatz
- Margaret Lee
- Mario Montano
- Shanna Parker
- Deanna Salazar
- Sina Medical LLC
- Tranquil Path Therapy Services LLC
- Fiona Ulivarri
- Lathesia Williams
All providers in Rio Communities, 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 Dec 26, 2023. 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.