Active NPI
Eduardo a Castrejon MD PA
- Family Medicine Physician
- Las Cruces, NM
National Provider Identifier
1750315917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- NM82-19
- Legal business name
- EDUARDO A CASTREJON MD PA
- Practice address
- 1205 S Solano Dr
Las Cruces, NM 88001-3755 - Phone
- (505) 524-9119
- Fax
- (505) 525-1889
- NPI assigned
- Jul 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eduardo Arturo Castrejon, M.D.
- Title
- Solo Propietor
- Phone
- (505) 524-9119
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NM82-19 | NM | Primary |
Addresses
Primary practice location
1205 S Solano Dr
Las Cruces, NM 88001-3755
Mailing address
1205 S Solano Dr
Las Cruces, NM 88001-3755
Phone (505) 524-9119
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0505 | Other | NM | BCBS |
| 201001583 | Medicaid | NM | |
| 8656 | Medicaid | NM | |
| 85044261 | Medicaid | NM |
National Provider Directory
National Provider DirectoryLocations
600 Anthony Dr
Anthony, NM 88021
Phone (505) 882-2118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1260230400000",
"number": "1750315917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 S SOLANO DR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880013755",
"telephone_number": "505-524-9119",
"fax_number": "505-525-1889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 S SOLANO DR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880013755",
"telephone_number": "505-524-9119",
"fax_number": "505-525-1889"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDUARDO A CASTREJON MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-11",
"last_updated": "2009-12-08",
"status": "A",
"authorized_official_last_name": "CASTREJON",
"authorized_official_first_name": "EDUARDO",
"authorized_official_middle_name": "ARTURO",
"authorized_official_title_or_position": "SOLO PROPIETOR",
"authorized_official_telephone_number": "505-524-9119",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NM",
"license": "NM82-19",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0505",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201001583",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8656",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "85044261",
"state": "NM"
}
],
"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 Dec 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.