NPIMap

Organization Active NPI

Las Cruces Home Therapies

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Las Cruces, NM
National Provider Identifier
1568733913
Registry record updated Jan 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
9031 Issued in NM
Legal business name
LAS CRUCES HOME THERAPIES
Practice address
2919 Hillrise Dr
Las Cruces, NM 88011-4701
Phone
(575) 521-1575
Fax
(575) 521-1940
NPI assigned
Jan 17, 2012
Last updated
Jan 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2012

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

Authorized official

Name
Dr. Rene De la Vega, M.D.
Title
Owner/Doctor
Phone
(575) 521-1575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 9031 NM Primary

Addresses

Primary practice location

2919 Hillrise Dr
Las Cruces, NM 88011-4701

Mailing address

2919 Hillrise Dr
Las Cruces, NM 88011-4701
Phone (575) 521-1575

National Provider Directory

National Provider Directory

Locations

2919 Hillrise Dr
Las Cruces, NM 88011
Phone (575) 521-1575

NPI Registry JSON

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

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1568733913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 HILLRISE DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114701",
            "telephone_number": "575-521-1575",
            "fax_number": "575-521-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 HILLRISE DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114701",
            "telephone_number": "575-521-1575",
            "fax_number": "575-521-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS CRUCES HOME THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-17",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "DE LA VEGA",
        "authorized_official_first_name": "RENE",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "575-521-1575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NM",
            "license": "9031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; 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.