Southern New Mexico Heart and Vascular Group LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

SOUTHERN NEW MEXICO HEART AND VASCULAR GROUP LLC

Practice address

3865 E Lohman Ave Ste 4
Las Cruces, NM 88011-8292

Phone

(575) 532-5838

Fax

(575) 532-1778

NPI assigned

Jul 24, 2019

Organization subpart

No

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

Authorized official

Name

Angie B Cristo

Title

Manager

Phone

(575) 532-5838

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563926400000",
    "number": "1629622055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3865 E LOHMAN AVE STE 4",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118292",
            "telephone_number": "575-532-5838",
            "fax_number": "575-532-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3865 E LOHMAN AVE STE 4",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118292",
            "telephone_number": "575-532-5838",
            "fax_number": "575-532-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN NEW MEXICO HEART AND VASCULAR GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A",
        "authorized_official_last_name": "CRISTO",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "575-532-5838"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessie Lorraine South
• Southern New Mexico Dental Group PC (Hillrise Dental)
• Southern New Mexico Diabetes Outreach
• Southern New Mexico Diagnostics LLC
• Southern New Mexico Family Neurology LLC
• Southern New Mexico Neurosurgery LLC
• Southern New Mexico Psychological Associates PA
• Southwest Air Ambulance
• Southwest Center on Aging
• Southwest Chiropractic Inc

• Cardiovascular Disease Physician in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Cardiovascular Disease Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.