Individual provider Active NPI

Rene A Guerrero, MD

  • Family Medicine Physician
  • Las Cruces, NM
National Provider Identifier
1972581080
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
85-39 Issued in NM
Practice address
3485 Northrise Dr
Suite 2
Las Cruces, NM 88011-6839
Phone
(575) 382-2149
Fax
(575) 382-2187
NPI assigned
Jan 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 85-39 NM Primary

Addresses

Primary practice location

3485 Northrise Dr
Suite 2
Las Cruces, NM 88011-6839

Mailing address

3485 Northrise Dr
Suite 2
Las Cruces, NM 88011-6839
Phone (575) 382-2149

Other identifiers 1

IdentifierTypeStateIssuer
00010520MedicaidNM

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

LicenseStateTypeSpecialty
85-39NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dona Ana Family Clinic PC PastSince Jul 26, 2008 Accepting new patients
Familycare Associates,PA Family Medicine 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.

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1972581080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3485 NORTHRISE DR",
            "address_2": "SUITE 2",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880116839",
            "telephone_number": "575-382-2149",
            "fax_number": "575-382-2187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3485 NORTHRISE DR",
            "address_2": "SUITE 2",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880116839",
            "telephone_number": "575-382-2149",
            "fax_number": "575-382-2187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "RENE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "85-39",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00010520",
            "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 Mar 22, 2016; 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.