| Las Cruces Primary Care Llc | |
|
1745 Avenida De Mercado Las Cruces NM 88005-4057 | |
| (575) 680-5745 | |
| (915) 232-9900 |
| Full Name | Las Cruces Primary Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1745 Avenida De Mercado, Las Cruces, New Mexico |
| Authorized Official Name and Position | Saul Burciaga-molinar (OWNER) |
| Authorized Official Contact | 5756805745 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Las Cruces Primary Care Llc 1180 Mall Dr Ste B Las Cruces NM 88011-8192 Ph: () - | Las Cruces Primary Care Llc 1745 Avenida De Mercado Las Cruces NM 88005-4057 Ph: (575) 680-5745 |
| NPI Number | 1750893335 |
|---|---|
| Provider Enumeration Date | 11/03/2017 |
| Last Update Date | 08/03/2023 |
| Medicare PECOS PAC ID | 3274891460 |
|---|---|
| Medicare Enrollment ID | O20171215002114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750893335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Saul D Burciaga-molinar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790960383 PECOS PAC ID: 5496871865 Enrollment ID: I20100923000634 |
| Provider Name | Heather A Lugo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013507664 PECOS PAC ID: 0941616361 Enrollment ID: I20210310001164 |
| Provider Name | Daniel A. Molinar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891157236 PECOS PAC ID: 3577855618 Enrollment ID: I20240604000478 |
Southwest Center On Aging Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1106 Centre Ct, Las Cruces, NM 88011 Phone: 575-532-5455 Fax: 575-532-5641 | |
Memorial Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2450 S Telshor Blvd, Las Cruces, NM 88011 Phone: 575-521-5385 | |
Harry Bass, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2425 S Telshor Blvd, Las Cruces, NM 88011 Phone: 575-522-0330 Fax: 575-522-8620 | |
Memorial Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2450 S Telshor Blvd, Las Cruces, NM 88011 Phone: 575-521-5385 | |
Rehabilitation Hospital Of Southern New Mexico Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4441 E Lohman Ave, Las Cruces, NM 88011 Phone: 575-521-6400 | |
Smart Care, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2801 Missouri Ave Ste 12, Las Cruces, NM 88011 Phone: 575-522-6900 Fax: 575-522-8891 | |
App Of New Mexico Hm Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4311 E Lohman Ave, Las Cruces, NM 88011 Phone: 575-556-7600 Fax: 629-216-0568 |