Active NPI
Lorene S Valdez-Boyle, MD
- Colon & Rectal Surgery Physician
- Albuquerque, NM
National Provider Identifier
1780650986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 20050754
- Practice address
- 801 Encino PL, NE Suite C1
Unmhsc Specialty Extension Services
Albuquerque, NM 87102 - Phone
- (505) 272-0110
- Fax
- (505) 272-2360
- NPI assigned
- Feb 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 20050754 | NM | |
| Colon & Rectal Surgery Physician | 208C00000X | 20050754 | NM | Primary |
Addresses
Primary practice location
801 Encino PL, NE Suite C1
Unmhsc Specialty Extension Services
Albuquerque, NM 87102
Mailing address
801 Encino PL, NE Suite C1
Unmhsc Specialty Extension Services
Albuquerque, NM 87102
Phone (505) 272-0110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20050754 | NM | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unm Medical Group Inc | Past | Accepting new patients | |
| Unm Medical Group Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Albuquerque, NM
- NPI 1831218627
-
- Developmental Disabilities Clinic/Center
- Albuquerque, NM
- NPI 1851614432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346889600000",
"number": "1780650986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 ENCINO PL, NE SUITE C1",
"address_2": "UNMHSC SPECIALTY EXTENSION SERVICES",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87102",
"telephone_number": "505-272-0110",
"fax_number": "505-272-2360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 ENCINO PL, NE SUITE C1",
"address_2": "UNMHSC SPECIALTY EXTENSION SERVICES",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87102",
"telephone_number": "505-272-0110",
"fax_number": "505-272-2360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALDEZ-BOYLE",
"first_name": "LORENE",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-27",
"last_updated": "2012-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NM",
"license": "20050754",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "NM",
"license": "20050754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.