Gaudencio Pavia MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD2003-0735 Issued in NM

Legal business name

GAUDENCIO PAVIA MD LLC

Practice address

1180 Mall Dr
Suite a
Las Cruces, NM 88011-8101

Phone

(575) 523-4344

Fax

(575) 647-8381

NPI assigned

Jul 30, 2010

Organization subpart

No

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

Authorized official

Name

Gaudencio Pavia, MD

Title

MD/Owner

Phone

(575) 647-8366

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280448000000",
    "number": "1982918090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 MALL DR",
            "address_2": "SUITE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118101",
            "telephone_number": "575-523-4344",
            "fax_number": "575-647-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 MALL DR",
            "address_2": "SUITE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118101",
            "telephone_number": "575-523-4344",
            "fax_number": "575-647-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAUDENCIO PAVIA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-30",
        "last_updated": "2010-07-30",
        "status": "A",
        "authorized_official_last_name": "PAVIA",
        "authorized_official_first_name": "GAUDENCIO",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "575-647-8366",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2003-0735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norbert William Gaskins, PH.D. LPCC
• Jessica Gassdorf, LPCC
• Ashley Gaston
• Roxanne A Gates
• Josephine Gatto
• Douglas Brent Gaufin, DO
• Rhaemi E Gaufin, DNP
• Sabina Gautam
• Sophia Gaveria, PHYSICAL THERAPIST
• Kaisha Gaynor

• Internal Medicine Physician in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Internal Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.

Verify at the official NPI Registry.