Gerardo Rafael Chavez, MLS (ASCP), MBA

Primary specialty

Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X

License

249997 Issued in NM

Practice address

3080 Breland Dr.
Las Cruces, NM 88003

Phone

(575) 646-6426

NPI assigned

Feb 27, 2025

Last updated

Feb 27, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration

State licenses

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

{
    "created_epoch": "1740614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1821895871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30001",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880038001",
            "telephone_number": "575-646-6426",
            "fax_number": "575-646-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 BRELAND DR.",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88003",
            "telephone_number": "575-646-6426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "GERARDO",
        "middle_name": "RAFAEL",
        "credential": "MLS (ASCP),  MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": "NM",
            "license": "249997",
            "primary": false
        },
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "NM",
            "license": "249997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarai Chavarria
• Faith Chaveriat
• Anna Chavez, RN, BSN
• Diana Lynne Chavez, RPH
• Felix Chavez Jr., LMHC
• Guadalupe Chavez
• Jennifer Brooke Chavez, RN
• Jesse V. Chavez, OTR
• Karla Alejandra Chavez
• Lisa Noelani Chavez

• Clinical Laboratory Director (Non-physician) in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Clinical Laboratory Director (Non-physician) in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.