Active NPI
Rio Grande Medical, LTD
- Family Medicine Physician
- Las Cruces, NM
National Provider Identifier
1700116878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- RIO GRANDE MEDICAL, LTD
- Practice address
- 4351 E Lohman Ave
Suite 301
Las Cruces, NM 88011-8259 - Phone
- (575) 532-8900
- Fax
- (575) 532-8963
- NPI assigned
- Jan 12, 2010
- Organization subpart
- Yes
- Parent organization
- RIO GRANDE MEDICAL GROUP, LTD
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eugene Samuel
- Title
- Ceo
- Phone
- (575) 532-8900
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| Pediatrics Physician | 208000000X |
Addresses
Primary practice location
4351 E Lohman Ave
Suite 301
Las Cruces, NM 88011-8259
Mailing address
4351 E Lohman Ave
Suite 301
Las Cruces, NM 88011-8259
Phone (575) 532-8900
National Provider Directory
National Provider Directory- Part of
- Rio Grande Medical Group
Locations
4351 E Lohman Ave
Ste 301
Las Cruces, NM 88011
Phone (575) 532-8900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263254400000",
"number": "1700116878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4351 E LOHMAN AVE",
"address_2": "SUITE 301",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118259",
"telephone_number": "575-532-8900",
"fax_number": "575-532-8963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4351 E LOHMAN AVE",
"address_2": "SUITE 301",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118259",
"telephone_number": "575-532-8900",
"fax_number": "575-532-8963"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIO GRANDE MEDICAL, LTD",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RIO GRANDE MEDICAL GROUP, LTD",
"enumeration_date": "2010-01-12",
"last_updated": "2010-01-12",
"status": "A",
"authorized_official_last_name": "SAMUEL",
"authorized_official_first_name": "EUGENE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "575-532-8900"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"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 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.