DR. OSVALDO RENE DELAVEGA (NPI# 1669548848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669548848 |
| Entity Type | Individual |
| Full Name | DR. OSVALDO RENE DELAVEGA |
| Credential | MD |
| Practice Address |
755 S Telshor Blvd Suite S101 Las Cruces NM 88011-4688 |
| Practice Telephone | 5755211575 |
| Practice Fax Number | 5755211940 |
| Mailing Telephone | 5755211575 |
| Mailing Fax Number | 5755211940 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2016-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
90-31 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 23580 | 05 |
| Street Address |
755 S TELSHOR BLVD SUITE S101 |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011-4688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811990542 | John Kent Nelson | Chiropractor | 755 S Telshor Blvd, Suite R-102, Las Cruces, NM 88011-4688 | 2005-05-27 |
| 1801370002 | Andrea Elena Saenz | Social Worker | 755 S Telshor Blvd, Las Cruces, NM 88011-4688 | 2018-09-24 |
| 1134598444 | Diana O'brien | Marriage & Family Therapist | 755 S Telshor Blvd, Suite 201b, Las Cruces, NM 88011-4688 | 2015-09-16 |
| 1841609401 | Beyond Envisioning, LLC | Counselor | 755 S Telshor Blvd, Unit R201, Las Cruces, NM 88011-4688 | 2014-08-07 |
| 1679903942 | Teri Lopez | Occupational Therapist | 755 S Telshor Blvd, Las Cruces, NM 88011-4688 | 2013-11-22 |
| 1952676991 | Anna Hooley | Nurse Practitioner | 755 S Telshor Blvd, C 202, Las Cruces, NM 88011-4688 | 2012-03-08 |
| 1366715674 | Alicia Iverson | Social Worker | 755 S Telshor Blvd, Suite D-109, Las Cruces, NM 88011-4688 | 2012-02-16 |
| 1619138807 | Heritage Chiropractic Center, LLC | Chiropractor | 755 S Telshor Blvd, Suite R-102, Las Cruces, NM 88011-4688 | 2008-06-19 |
| 1174780639 | Damon Dwiggins | Massage Therapist | 755 S Telshor Blvd, Bldg C Suite 201, Las Cruces, NM 88011-4688 | 2008-05-21 |
| 1780841585 | Innovations Healthcare Rehabilitation, LLC | Physical Therapist | 755 S Telshor Blvd, A201, Las Cruces, NM 88011-4688 | 2008-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954648 | Asc of The Heart Institute | Internal Medicine | 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 | 2020-08-26 |
| 1104449206 | Kruti Gitesh Shah | Student in an Organized Health Care Education/Training Program | Mountain View Regional Medical Cente, Graduate Medical Education, 4351 E Lohman Ave Suite 300, Las Cruces, NM 88011 | 2020-05-22 |
| 1831719368 | Borna Mansouri | Student in an Organized Health Care Education/Training Program | 4351 E. Lahman Ave, Suite 300, Moutnainview Regional Medical Center Graduta, Las Cruces, NM 88011 | 2020-04-24 |
| 1306474408 | Madonna Petula Phillip | Student in an Organized Health Care Education/Training Program | 4351 E Lohmon Avenue Suite 300, Las Cruces, NM 88011 | 2020-04-01 |
| 1285267849 | Back In Action Therapy of Las Cruces | Occupational Therapist | 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 | 2020-02-21 |
| 1649818725 | Kimberly Ann Smetzer | Registered Nurse | 4401 East Lohman, Building 5, Las Cruces, NM 88011 | 2019-12-19 |
| 1548806375 | Melinda Michelle Fowler | Social Worker | 2605 Terrace Drive, Las Cruces, NM 88011 | 2019-11-27 |
| 1871134692 | Rio Grande Hematology and Oncology, LLC | Internal Medicine | 4391 East Lohman Ave., Las Cruces, NM 88011 | 2019-10-02 |
| 1972083640 | Lorianna R. Narvaez | Counselor | 1155 S. Telshor Suite 302-a, Las Cruces, NM 88011 | 2018-08-21 |
| 1215416524 | Aday Orthodontics, PC | Dentist | 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 | 2018-08-08 |
| Find all providers in zip 88011 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750897377 | New Mexico Kidney Care LLC | Internal Medicine | 755 S Telshor Blvd Ste S101, Las Cruces, NM 88011-4688 | 2017-12-19 |
| 1760840615 | Kidney Disease and Hypertension Center of New Mexico LLC | Internal Medicine | 3107 Moonlight Ridge Arc, Las Cruces, NM 88011-1639 | 2016-02-08 |
| 1770883720 | Nduka-obi Francis Ossai | Internal Medicine | 425 S Telshor Blvd # C201b, Las Cruces, NM 88011-8235 | 2010-10-25 |
| 1669472254 | Lucia T Corro | Internal Medicine | 2930 Hillrise Dr, Suite # 5, Las Cruces, NM 88011-4776 | 2005-07-26 |
| 1407178007 | Renal Medicine of Las Cruces LLC | Internal Medicine | 2930 Hillrise Dr, Ste. 5, Las Cruces, NM 88011-4776 | 2010-02-23 |
| 1992860712 | Southwest Health Services, Pa | Internal Medicine | 2525 S Telshor Blvd, Ste B2, Las Cruces, NM 88011-5071 | 2006-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962972943 | Albuquerque Nephrology Associates | Internal Medicine | 4333 Pan American Freeway Ne Suite C, Albuquerque, NM 87107-6833 | 2018-12-03 |
| 1487945507 | Shan Shan Chen | Internal Medicine | Msc 04-2785, 1 University of New Mexico, Albuquerque, NM 87131 | 2011-04-23 |
| 1316143068 | David C Brown | Internal Medicine | 20 Vista Redonda, Santa Fe, NM 87506-9472 | 2007-06-21 |
| 1689889123 | Steven Paul Kanig | Internal Medicine | 3325 Calle De Daniel Nw, Albuquerque, NM 87104-3023 | 2007-05-10 |
| 1932200904 | Eduardo A. Alas | Internal Medicine | 717 Encino Place N.e., Suite 26, Albuquerque, NM 87102 | 2006-09-25 |
| 1720185788 | Mark Bevan | Internal Medicine | 812 W Maple St, Farmington, NM 87401-5631 | 2006-09-20 |
| 1326145392 | Manish Pandya | Internal Medicine | 301 S Lake St Ste B, Farmington, NM 87401 | 2006-09-20 |
| 1912004904 | Neil Collinge | Internal Medicine | 622 W Maple St Ste H, Farmington, NM 87401-6589 | 2006-09-20 |
| 1407868995 | Robert Jan Kossmann | Internal Medicine | 1650 Hospital Dr, Suite 200, Santa Fe, NM 87505-4769 | 2006-08-12 |
| 1518985191 | Gustavo Abel Espino | Internal Medicine | 4333 Pan American Fwy Ne Ste C, Albuquerque, NM 87107-6833 | 2006-07-18 |
| Find all providers with the same taxonomy | ||||
| City | LAS CRUCES |
| Zip Code | 88011 |
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| 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.