Carlsbad Spine Pain Sports Medicine PC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

2000325 Issued in NM

Legal business name

CARLSBAD SPINE PAIN SPORTS MEDICINE PC

Practice address

2319 W Pierce St
Carlsbad, NM 88220-3515

Phone

(505) 628-1548

Fax

(505) 628-1552

NPI assigned

Sep 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ricardo A Nieves, MD

Title

President

Phone

(575) 628-1548

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1396930152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2319 W PIERCE ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882203515",
            "telephone_number": "575-628-1548",
            "fax_number": "505-628-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2319 W PIERCE ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882203515",
            "telephone_number": "505-628-1548",
            "fax_number": "505-628-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLSBAD SPINE PAIN SPORTS MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "NIEVES",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "575-628-1548",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NM",
            "license": "2000325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B9615",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlsbad Mental Health Center
• Carlsbad Municipal Schools
• Carlsbad Open MRI
• Carlsbad Physical Therapy & Wellness Center, LLC
• Carlsbad Regional Oscology Center
• Justine Brittany Carmichael, MSN, FNP-C
• Alison Caron
• Devonica Carrasco, LMSW
• Lena Jean Carrasco, CNS
• Andrea Diane Carrillo, NP

• Interventional Pain Medicine Physician in Carlsbad, NM
• Providers in Carlsbad, NM by specialty
• Interventional Pain Medicine Physician in New Mexico

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

Verify at the official NPI Registry.