Baldomero P Garcia MD PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

81-197 Issued in NM

Legal business name

BALDOMERO P GARCIA MD PA

Practice address

3003 Hillrise Dr
Suite a
Las Cruces, NM 88011-4897

Phone

(505) 521-7550

Fax

(505) 521-7617

NPI assigned

Aug 5, 2007

Organization subpart

No

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

Authorized official

Name

Rosie Leon

Title

Medical Asst.

Phone

(505) 521-7550

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1679764880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 HILLRISE DR",
            "address_2": "SUITE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114897",
            "telephone_number": "505-521-7550",
            "fax_number": "505-521-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 HILLRISE DR",
            "address_2": "SUITE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114897",
            "telephone_number": "505-521-7550",
            "fax_number": "505-521-7617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALDOMERO P GARCIA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "ROSIE",
        "authorized_official_title_or_position": "MEDICAL ASST.",
        "authorized_official_telephone_number": "505-521-7550"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NM",
            "license": "81-197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "2134697",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21170",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "011001",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jessica Balderrama
• Jeremy James Baldillez
• Courtni Baldwin
• Gabrielle Virginia Balek, BS
• Staci Christine Ballard, PHD
• Liliana Baltazar, CHW
• Flor Baltierrez, CASE MANAGER

• All providers in Las Cruces, NM
• Primary Care Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.