| Hidalgo Medical Services | |
|
530 De Moss St Hidalgo Medical Services Lordsburg NM 88045-2618 | |
| (575) 542-8384 | |
| (575) 542-2388 |
| Full Name | Hidalgo Medical Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 530 De Moss St, Lordsburg, New Mexico |
| Authorized Official Name and Position | Daniel Otero (CEO) |
| Authorized Official Contact | 5755422322 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hidalgo Medical Services 530 De Moss St Hidalgo Medical Services Lordsburg NM 88045-2618 Ph: (575) 542-8384 | Hidalgo Medical Services 530 De Moss St Hidalgo Medical Services Lordsburg NM 88045-2618 Ph: (575) 542-8384 |
| NPI Number | 1306843180 |
|---|---|
| Provider Enumeration Date | 07/07/2005 |
| Last Update Date | 03/04/2016 |
| Medicare PECOS PAC ID | 4587572250 |
|---|---|
| Medicare Enrollment ID | O20040303001246 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306843180 | NPI | - | NPPES |
| S6325 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 6500 (New Mexico) | Primary |
| Provider Name | Christine Cutbirth |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699422766 PECOS PAC ID: 0143297002 Enrollment ID: I20040911000079 |
| Provider Name | Carmen M Diaz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962421834 PECOS PAC ID: 5698714194 Enrollment ID: I20050608001225 |
| Provider Name | John E Glick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811904337 PECOS PAC ID: 6800823048 Enrollment ID: I20050720000254 |
| Provider Name | Ana T Arizaga |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326095498 PECOS PAC ID: 4082656343 Enrollment ID: I20050722000244 |
| Provider Name | Donald F Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093713109 PECOS PAC ID: 2961438239 Enrollment ID: I20050830000973 |
| Provider Name | Forrest Henry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407810179 PECOS PAC ID: 0143122002 Enrollment ID: I20060905000596 |
| Provider Name | Brian M Etheridge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487767562 PECOS PAC ID: 6709979628 Enrollment ID: I20070910000329 |
| Provider Name | Neal A Bowen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942287602 PECOS PAC ID: 6901820893 Enrollment ID: I20071107000262 |
| Provider Name | Darrick P Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306843990 PECOS PAC ID: 0042384398 Enrollment ID: I20101101000782 |
| Provider Name | Donald J Stinar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1831270719 PECOS PAC ID: 5991993537 Enrollment ID: I20101222000917 |
| Provider Name | Irma Mariana Santiago |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184866675 PECOS PAC ID: 6800045931 Enrollment ID: I20121005000320 |
| Provider Name | Danielle Laura Maier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891124574 PECOS PAC ID: 2264663939 Enrollment ID: I20140321000266 |
| Provider Name | Kyle W Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710375258 PECOS PAC ID: 5799000865 Enrollment ID: I20150212000377 |
| Provider Name | Elsa Felicia Abrams |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1982685194 PECOS PAC ID: 8527384320 Enrollment ID: I20150312001893 |
| Provider Name | Dara Ann Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225486798 PECOS PAC ID: 5799072542 Enrollment ID: I20160922001736 |
| Provider Name | Rachel Sonne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023300431 PECOS PAC ID: 7517112105 Enrollment ID: I20161222000318 |
| Provider Name | Patsy Jean Rowan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669917431 PECOS PAC ID: 5294017471 Enrollment ID: I20170124000297 |
| Provider Name | Virginia Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477746816 PECOS PAC ID: 6305009994 Enrollment ID: I20170124001608 |
| Provider Name | Taylor E Leeper |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1346787165 PECOS PAC ID: 3476823089 Enrollment ID: I20170714000125 |
| Provider Name | Patricia Hamilton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861937369 PECOS PAC ID: 3072886027 Enrollment ID: I20170913002254 |
| Provider Name | Annie Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154741452 PECOS PAC ID: 9739305608 Enrollment ID: I20171116000098 |
| Provider Name | Edla Rucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467609784 PECOS PAC ID: 5597925396 Enrollment ID: I20171213002044 |
| Provider Name | Janine L Risser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558441634 PECOS PAC ID: 2062591209 Enrollment ID: I20171215000259 |
| Provider Name | Sam W Lew |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154369981 PECOS PAC ID: 4183669377 Enrollment ID: I20171228002353 |
| Provider Name | Salvador Adame Zambrano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225444714 PECOS PAC ID: 3274832217 Enrollment ID: I20171229002021 |
| Provider Name | Andrew George Lefave |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437197944 PECOS PAC ID: 5890842736 Enrollment ID: I20180606002907 |
| Provider Name | Brandon I Ferguson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457747917 PECOS PAC ID: 9032422811 Enrollment ID: I20180911002025 |
| Provider Name | Charles Ashley Whiting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467851709 PECOS PAC ID: 5799905618 Enrollment ID: I20181016001535 |
| Provider Name | Joseph M Santarsieri |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1528154630 PECOS PAC ID: 9032179031 Enrollment ID: I20181030001954 |
| Provider Name | Helia Ibarra-alos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578773222 PECOS PAC ID: 8628249703 Enrollment ID: I20181031001108 |
| Provider Name | Reynald Omega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689083230 PECOS PAC ID: 7315241593 Enrollment ID: I20181127003301 |
| Provider Name | Randi Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699241323 PECOS PAC ID: 9032455837 Enrollment ID: I20190116000946 |
| Provider Name | Paula Ardith Zuccaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366405086 PECOS PAC ID: 6305818345 Enrollment ID: I20190227000108 |
| Provider Name | Hannah Lochner |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1154889962 PECOS PAC ID: 5890036255 Enrollment ID: I20190411001940 |
| Provider Name | Marilyn A Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912003369 PECOS PAC ID: 9436170370 Enrollment ID: I20190426002037 |
| Provider Name | Sarah Katherine Haan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619283835 PECOS PAC ID: 8426334129 Enrollment ID: I20190726001188 |
| Provider Name | Pedro Armendariz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851773279 PECOS PAC ID: 1355601642 Enrollment ID: I20190731002985 |
| Provider Name | Jayson Garcia-gurule |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1841852555 PECOS PAC ID: 2264761311 Enrollment ID: I20190916000435 |
| Provider Name | Mary Ann Crow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215576905 PECOS PAC ID: 5193151009 Enrollment ID: I20200212000515 |
| Provider Name | Phyllis Wilkerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326563016 PECOS PAC ID: 1254606080 Enrollment ID: I20200422000116 |
| Provider Name | Susan Staples |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508380478 PECOS PAC ID: 2264706860 Enrollment ID: I20200701000585 |
| Provider Name | Marissa Jenee Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689298879 PECOS PAC ID: 7810314051 Enrollment ID: I20200902000669 |
| Provider Name | Janet Salcido |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366056905 PECOS PAC ID: 7113336512 Enrollment ID: I20210517000357 |
| Provider Name | Alandrah Nichole Bailey |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1619541497 PECOS PAC ID: 8224433420 Enrollment ID: I20210826001503 |
| Provider Name | Eyvonne Lee |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1710553185 PECOS PAC ID: 8921404096 Enrollment ID: I20210915001756 |
| Provider Name | Angela O Waller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194774190 PECOS PAC ID: 6406868892 Enrollment ID: I20220127000659 |
| Provider Name | Ellis M. Knight |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699716340 PECOS PAC ID: 2365584646 Enrollment ID: I20220509001806 |
| Provider Name | Stephen L Priftakis |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1780688176 PECOS PAC ID: 2466481940 Enrollment ID: I20220715000682 |
| Provider Name | Shaun Mccormick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679957609 PECOS PAC ID: 2769798917 Enrollment ID: I20221017003313 |
| Provider Name | Lacy Ann Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013639830 PECOS PAC ID: 2668849944 Enrollment ID: I20221028001426 |
| Provider Name | Anita Bernadeta Parada |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538889464 PECOS PAC ID: 8426425158 Enrollment ID: I20221109000343 |
| Provider Name | Marisa Shapiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467170266 PECOS PAC ID: 3476923939 Enrollment ID: I20221228002083 |
| Provider Name | Benjamin Weege |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1457441842 PECOS PAC ID: 2062701659 Enrollment ID: I20230301002530 |
| Provider Name | Nitin Joshi |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1659082212 PECOS PAC ID: 3274907779 Enrollment ID: I20230324000306 |
| Provider Name | Amy Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821509308 PECOS PAC ID: 5395116974 Enrollment ID: I20230420002901 |
| Provider Name | Beth E Rieches |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518266576 PECOS PAC ID: 0749443521 Enrollment ID: I20230530002660 |
| Provider Name | Kasuma Awolola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730351628 PECOS PAC ID: 9931598562 Enrollment ID: I20230601002513 |
| Provider Name | Simon Laine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639573157 PECOS PAC ID: 3678887379 Enrollment ID: I20230616000591 |
| Provider Name | Kalli Wolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033627187 PECOS PAC ID: 9537415781 Enrollment ID: I20230620001579 |
| Provider Name | Jose Ramon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346656071 PECOS PAC ID: 0547582462 Enrollment ID: I20231211001894 |
| Provider Name | Bianca R Ramirez |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1255938957 PECOS PAC ID: 1153772629 Enrollment ID: I20240109002508 |
| Provider Name | Frida Maria Gonzalez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124495841 PECOS PAC ID: 1759732282 Enrollment ID: I20240109004781 |
| Provider Name | Paris Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265145643 PECOS PAC ID: 1254704844 Enrollment ID: I20240129000139 |
| Provider Name | Susan Russo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538292982 PECOS PAC ID: 0244509776 Enrollment ID: I20240201000669 |
| Provider Name | Kasimu F Kalala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912568908 PECOS PAC ID: 3577992908 Enrollment ID: I20240222003541 |
| Provider Name | Meagan Montoya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417716267 PECOS PAC ID: 2264872878 Enrollment ID: I20240430002449 |
| Provider Name | Robert Paul Doherty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164044780 PECOS PAC ID: 3779923396 Enrollment ID: I20240430002738 |
| Provider Name | Melissa A Palmer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639287014 PECOS PAC ID: 6103277819 Enrollment ID: I20240503001214 |
| Provider Name | Tonya Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720613482 PECOS PAC ID: 8022449057 Enrollment ID: I20240523000070 |
| Provider Name | Ondrea Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477844223 PECOS PAC ID: 8224206586 Enrollment ID: I20240718003379 |
| Provider Name | Anh Dinh |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1609610757 PECOS PAC ID: 2264978063 Enrollment ID: I20240729000158 |
| Provider Name | Adam Shinohara |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1790529840 PECOS PAC ID: 2466999248 Enrollment ID: I20240730003033 |
| Provider Name | Ann-elise Zarkower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548480981 PECOS PAC ID: 7416104799 Enrollment ID: I20240923003350 |
| Provider Name | Cynthia Kaye Bates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487485264 PECOS PAC ID: 2264964808 Enrollment ID: I20241021001498 |
| Provider Name | Gary Wayne Latson |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1356360986 PECOS PAC ID: 3870656788 Enrollment ID: I20241022003252 |
| Provider Name | Wayne Keith Watson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811995640 PECOS PAC ID: 0749245249 Enrollment ID: I20241025000980 |
| Provider Name | Kelly Ruemmele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912317942 PECOS PAC ID: 1951685205 Enrollment ID: I20241130000115 |
| Provider Name | Anna Marie Yniguez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922776376 PECOS PAC ID: 8426400557 Enrollment ID: I20241212003111 |
| Provider Name | Tina Marie Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568962611 PECOS PAC ID: 6204175284 Enrollment ID: I20250520000437 |
Hidalgo Medical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 532 Demoss St., Lordsburg, NM 88045 Phone: 575-542-2353 Fax: 575-542-2388 | |
Hidalgo Medical Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 501 W 4th St, Lordsburg, NM 88045 Phone: 575-542-3389 Fax: 575-542-2388 |