| Southwest Center on Aging | |
|
1106 Centre Ct Las Cruces NM 88011-8154 | |
| (575) 532-5455 | |
| (575) 532-5641 |
| Full Name | Southwest Center on Aging |
|---|---|
| Speciality | Internal Medicine |
| Location | 1106 Centre Ct, Las Cruces, New Mexico |
| Authorized Official Name and Position | Jesus Roberto Duran (OWNER) |
| Authorized Official Contact | 5756478366 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Center on Aging 1106 Centre Ct Las Cruces NM 88011-8154 Ph: (575) 532-5455 | Southwest Center on Aging 1106 Centre Ct Las Cruces NM 88011-8154 Ph: (575) 532-5455 |
| NPI Number | 1003143660 |
|---|---|
| Provider Enumeration Date | 11/03/2009 |
| Last Update Date | 04/24/2025 |
| Certification Date | 04/24/2025 |
| Medicare PECOS PAC ID | 9830233378 |
|---|---|
| Medicare Enrollment ID | O20100222000225 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003143660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD2008-0053 (New Mexico) | Primary |
| Provider Name | Jesus R Duran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972714806 PECOS PAC ID: 6800996380 Enrollment ID: I20080804000114 |
| Provider Name | Eva P Aguilar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295909257 PECOS PAC ID: 8527115765 Enrollment ID: I20090406000208 |
| Provider Name | Shannon L Rodriguez |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1316243736 PECOS PAC ID: 9234317645 Enrollment ID: I20140613000235 |
| Provider Name | Tyson Kyle Kay |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538694468 PECOS PAC ID: 5597033175 Enrollment ID: I20170623000032 |
| Provider Name | Rebecca L Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902227127 PECOS PAC ID: 7012372022 Enrollment ID: I20230426002376 |
| Provider Name | Mary Elizabeth Younger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295513364 PECOS PAC ID: 5395183172 Enrollment ID: I20240401000043 |
| Provider Name | Senait Gebreyesus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295688877 PECOS PAC ID: 2961978317 Enrollment ID: I20260414002966 |
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 |
Rhsnm Physician Group 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 |