Organization Active NPI

Epmed, PA

Doing business as New Mexico Pain Center of Albuquerq

  • Durable Medical Equipment & Medical Supplies
  • Albuquerque, NM
National Provider Identifier
1548807167
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Jul 27, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
58470701MedicaidNM

Other names 1

  • New Mexico Pain Center of Albuquerq Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.