Southwest Health Services, PA

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

SOUTHWEST HEALTH SERVICES, PA

Practice address

2525 S Telshor Blvd
Ste B2
Las Cruces, NM 88011-5071

Phone

(575) 521-1575

Fax

(575) 521-1940

NPI assigned

Dec 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Osvaldo Rene De la Vega, MD

Title

President

Phone

(575) 521-1575

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346716800000",
    "number": "1992860712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 S TELSHOR BLVD",
            "address_2": "STE B2",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115071",
            "telephone_number": "575-521-1575",
            "fax_number": "575-521-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 S TELSHOR BLVD",
            "address_2": "STE B2",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115071",
            "telephone_number": "575-521-1575",
            "fax_number": "575-521-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST HEALTH SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2012-09-04",
        "status": "A",
        "authorized_official_last_name": "DE LA VEGA",
        "authorized_official_first_name": "OSVALDO",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "575-521-1575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "K2762",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Southwest Heart PC
• Southwest Institute of Hearing and Balance
• Southwest Medical Services, Inc
• Southwest Optical, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.

Verify at the official NPI Registry.