Individual provider Active NPI

Maria Virginia Perez Bastidas, MD

  • Internal Medicine Physician
  • Las Cruces, NM
National Provider Identifier
1588242507
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD2026-0111 Issued in NM
Practice address
4311 E Lohman Ave
Las Cruces, NM 88011-8255
Phone
(786) 543-8490
NPI assigned
Mar 31, 2021
Last updated
Aug 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD2026-0111 NM Primary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD2026-0111 NM

Addresses

Primary practice location

4311 E Lohman Ave
Las Cruces, NM 88011-8255

Mailing address

4351 E Lohman Ave Ste 300
Las Cruces, NM 88011-8262
Phone (786) 543-8490

Other practice location 1

608 N 13th St Ste 600
Artesia, NM 88210-1165
Phone (575) 736-8440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1588242507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4351 E LOHMAN AVE STE 300",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118262",
            "telephone_number": "786-543-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 E LOHMAN AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118255",
            "telephone_number": "786-543-8490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "608 N 13th St Ste 600",
            "address_purpose": "LOCATION",
            "city": "Artesia",
            "state": "NM",
            "postal_code": "882101165",
            "country_code": "US",
            "telephone_number": "575-736-8440",
            "fax_number": "575-736-8441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ BASTIDAS",
        "first_name": "MARIA",
        "middle_name": "VIRGINIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2026-0111",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NM",
            "license": "MD2026-0111",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.