Active NPI
Medicine Clinic LLC
- Internal Medicine Physician
- Hobbs, NM
National Provider Identifier
1376722827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MEDICINE CLINIC LLC
- Practice address
- 5419 N Lovington Hwy Ste 10
Hobbs, NM 88240-9135 - Phone
- (505) 392-8943
- Fax
- (505) 392-8960
- NPI assigned
- Nov 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jesus J Fonseca
- Title
- Internal Medicine
- Phone
- (505) 392-8943
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
5419 N Lovington Hwy Ste 10
Hobbs, NM 88240-9135
Mailing address
5419 N Lovington Hwy Ste 10
Hobbs, NM 88240-9135
Phone (505) 392-8943
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NM009390 | Other | NM | BCBS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Hobbs, NM
- NPI 1093829400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224201600000",
"number": "1376722827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5419 N LOVINGTON HWY STE 10",
"city": "HOBBS",
"state": "NM",
"postal_code": "882409135",
"telephone_number": "505-392-8943",
"fax_number": "505-392-8960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5419 N LOVINGTON HWY STE 10",
"city": "HOBBS",
"state": "NM",
"postal_code": "882409135",
"telephone_number": "505-392-8943",
"fax_number": "505-392-8960"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICINE CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-01",
"last_updated": "2008-10-17",
"status": "A",
"authorized_official_last_name": "FONSECA",
"authorized_official_first_name": "JESUS",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "INTERNAL MEDICINE",
"authorized_official_telephone_number": "505-392-8943",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "NM009390",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hobbs, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.