Hernan Ciudad

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

74-17 Issued in NM

Practice address

2801 Missouri Ave
Suite 27
Las Cruces, NM 88011-5075

Phone

(505) 521-0630

Fax

(505) 521-0628

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2975/brand/1/csg/1/fhir/r4
• Direct secure messaging: h.ciudad@rgmgl-nm.direct.office.nextgen.com

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417031840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1560",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880041560",
            "telephone_number": "505-647-8366",
            "fax_number": "505-647-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 MISSOURI AVE",
            "address_2": "SUITE 27",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115075",
            "telephone_number": "505-521-0630",
            "fax_number": "505-521-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIUDAD",
        "first_name": "HERNAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NM",
            "license": "74-17",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Circle of the Solitary (Living Tree ABW)
• Carla Cisneros, LMSW
• Jasmine Rose Cisneros, LMSW
• Marina Cisneros
• Sarahi Cisneros
• Clarion Telehealth Network, LLC
• Alison L. Clark, CNM
• Angel M Clark
• Cheryl Louise Clark, MA., CCC-SLP
• Christina Clark

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.