RUBEN COSTALES NANEZ (NPI# 1629600556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629600556 |
Entity Type | Individual |
Full Name | RUBEN COSTALES NANEZ |
Credential | MT ASCP |
Practice Address |
661 Wendy Ln Las Cruces NM 88007-5324 |
Practice Telephone | 5756491847 |
Mailing Telephone | 5756491847 |
Enumeration Date | 2020-02-09 |
Last Update Date | 2020-02-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246QM0706X |
Spec/Tech, Pathology Specialization: Medical Technologist |
MT175482 | NM | Technologists, Technicians & Other Technical Service Providers |
Street Address |
661 WENDY LN |
City | LAS CRUCES |
State | NM |
Zip Code | 88007-5324 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952814196 | Debra G Hanus | Registered Nurse | 12325 Fort Mcrae Rd., Las Cruces, NM 88007 | 2017-11-09 |
1730698309 | Equine Assisted Programs of Southern New Mexico LLC | Clinic/Center | 190 Providence Road, Las Cruces, NM 88007 | 2017-09-26 |
1952841926 | Kimberly Danielle Diaz | Marriage & Family Therapist | 471 Alvillar Rd, Las Cruces, NM 88007 | 2017-02-24 |
1326420951 | Juan Mendoza | Psychologist | 715 E. Idaho, Las Cruces, NM 88007 | 2015-06-19 |
1801206974 | Sonnie Michelle Sanchez | Case Manager/Care Coordinator | 2211 N. Valley Dr., Las Cruces, NM 88007 | 2014-04-29 |
1932528171 | Carrie A Jones | Case Manager/Care Coordinator | 2211 N. Valley, Las Cruces, NM 88007 | 2014-04-15 |
1881015402 | Tony Trevino | Case Manager/Care Coordinator | 660 Copa Lane, Las Cruces, NM 88007 | 2013-12-27 |
1982025508 | Gilbert L Barela | Case Manager/Care Coordinator | 440 Helens Place, Las Cruces, NM 88007 | 2013-12-27 |
1497176010 | Heather Barela | Case Manager/Care Coordinator | 305 Windchime Lane, Las Cruces, NM 88007 | 2013-12-27 |
1962833194 | Sylvia Trevino | Case Manager/Care Coordinator | 660 Copa Ln., Las Cruces, NM 88007 | 2013-12-13 |
Find all providers in zip 88007 |
Taxonomy Code | 246QM0706X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Spec/Tech, Pathology |
Specialization | Medical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891085262 | Stella Elizabeth Wilson | Spec/Tech, Pathology | 500 Stone Lake Road, Dulce, NM 87528 | 2011-04-19 |
1427348051 | Ronald Valer Marmash | Spec/Tech, Pathology | 3113 Britt St Ne, Albuquerque, NM 87111-4954 | 2011-04-16 |
1639399967 | Patrick Norman Vigil II | Spec/Tech, Pathology | 318 Abalone Loop Rd, Mescalero, NM 88340 | 2007-04-27 |
1508138660 | Marie Tallent Deloach | Spec/Tech, Pathology | 500 North Mundo, Dulce, NM 87528 | 2012-02-06 |
1487805198 | Anna V. Hall | Spec/Tech, Pathology | 12000 Stone Lake Road, Dulce, NM 87528-0187 | 2008-10-01 |
1609935931 | Suzanna Duran | Spec/Tech, Pathology | 318 Abalone Loop, Mescalero, NM 88340 | 2006-12-06 |
1376638411 | Vicky L Sparks Freeman | Spec/Tech, Pathology | 1090 Goat Springs Road, Taos Picuris Indian Health Center, Taos, NM 87571 | 2006-10-04 |
City | LAS CRUCES |
Zip Code | 88007 |
Please comment or provide details below to improve the information on RUBEN COSTALES NANEZ.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.