Family Medicine and Rejuvenation Therapies
Organization Active NPI Family Nurse Practitioner · Anthony, NM
NPI 1447031273 · NPPES record last updated Jul 15, 2024
Key facts
- NPI
- 1447031273
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- Legal business name
- FAMILY MEDICINE AND REJUVENATION THERAPIES
- Practice address
- 200 Vinton Rd
Anthony, NM 88021-7047 - Phone
- (720) 276-8251
- NPI assigned
- Oct 9, 2023
- Organization subpart
- No
Authorized official
- Name
- Veronica Torres Cervantes, FNP-C
- Title
- Primary Care Provider
- Phone
- (720) 276-8251
Practitioners 1
-
Veronica Torres Cervantes, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231128003656 | NM | Part B Supplier - Clinic/Group Practice | 9931557113 |
Receives reassigned benefits from 1 practitioner Practice locations: Anthony, NM |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infusion Therapy Clinic/Center | 261QI0500X | |||
| Primary Care Clinic/Center | 261QP2300X | |||
| Family Nurse Practitioner |
363LF0000X | Yes |
Addresses
Primary practice location
200 Vinton Rd
Anthony, NM 88021-7047
Mailing address
200 Vinton Rd
Anthony, NM 88021-7047
Other providers in Anthony, NM
- Itzel Esparza Reyna
- Yvette Espinoza
- Virginia Estala
- Stephanie Fallert
- Familia Care
- Elia Jacqueline Flores
- Jose Leos Flores
- Michael Keith Ford
- Emilia Isabel Franco
- Victoria Louise Fresquez
All providers in Anthony, NM · Family Nurse Practitioner 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 Jul 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.