Active NPI
Epmed, PA
Doing business as New Mexico Pain Center of Albuquerq
- Durable Medical Equipment & Medical Supplies
- Albuquerque, NM
National Provider Identifier
1548807167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- EPMED, PA
- Doing business as
- New Mexico Pain Center of Albuquerq
- Practice address
- 3600 Coors Blvd NW Ste 200
Albuquerque, NM 87120-1436 - Phone
- (505) 264-9961
- Fax
- (505) 289-3887
- NPI assigned
- Dec 2, 2019
- 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
- Eduardo Genaro Vazquez, MD
- Title
- Ceo
- Phone
- (915) 598-7246
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
3600 Coors Blvd NW Ste 200
Albuquerque, NM 87120-1436
Mailing address
3215 Gateway Blvd W
El Paso, TX 79903-4225
Phone (915) 598-7246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 58470701 | Medicaid | NM |
Other names 1
- New Mexico Pain Center of Albuquerq
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575244800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595808000000",
"number": "1548807167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3215 GATEWAY BLVD W",
"city": "EL PASO",
"state": "TX",
"postal_code": "799034225",
"telephone_number": "915-598-7246",
"fax_number": "915-633-6598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 COORS BLVD NW STE 200",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871201436",
"telephone_number": "505-264-9961",
"fax_number": "505-289-3887"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EPMED, PA",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-02",
"last_updated": "2020-07-27",
"certification_date": "2020-07-27",
"status": "A",
"authorized_official_last_name": "VAZQUEZ",
"authorized_official_first_name": "EDUARDO",
"authorized_official_middle_name": "GENARO",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "915-598-7246",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "58470701",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "New Mexico Pain Center of Albuquerq",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.