Renal Medicine of Las Cruces LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

MD2004-0025 Issued in NM

Legal business name

RENAL MEDICINE OF LAS CRUCES LLC

Practice address

2930 Hillrise Dr
Ste. 5
Las Cruces, NM 88011-4776

Phone

(575) 521-0008

Fax

(575) 521-0063

NPI assigned

Feb 23, 2010

Organization subpart

No

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

Authorized official

Name

Lucia Corro, MDNPI 1669472254

Title

MD/Owner

Phone

(575) 521-0008

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lucia T Corro, MD

  • Nephrology Physician
  • Las Cruces, NM
  • NPI 1669472254
  Medicare reassignment NPD Authorized official
• Enid Salcido, CNP, RN

  • Family Nurse Practitioner
  • Las Cruces, NM
  • NPI 1396129953
  NPD (past)
• Abigail Martin

  • Nurse Practitioner
  • Sulphur Springs, TX
  • NPI 1710353487
  NPD (past)

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294790400000",
    "number": "1407178007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 HILLRISE DR",
            "address_2": "STE. 5",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114776",
            "telephone_number": "575-521-0008",
            "fax_number": "575-521-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 HILLRISE DR",
            "address_2": "STE. 5",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114776",
            "telephone_number": "575-521-0008",
            "fax_number": "575-521-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL MEDICINE OF LAS CRUCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-23",
        "last_updated": "2011-01-12",
        "status": "A",
        "authorized_official_last_name": "CORRO",
        "authorized_official_first_name": "LUCIA",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "575-521-0008",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NM",
            "license": "MD2004-0025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85430552",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Relieve Home Care
• Remarkable Courage Counseling
• G Ann Remick-Barlow, LISW
• Renal Care Group South New Mexico, LLC (Fresenius Medical Care Las Cruces)
• Renal Care Group South New Mexico, LLC (Fresenius Medical Care Las Cruces South)
• Valerie Rendon
• Richard J Renner
• Calandria Reno
• Jasmine Renteria, MSW INTERN
• Jose Renteria

• Nephrology Physician in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Nephrology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.