SERGIO GALVAN (NPI# 1093292542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093292542 |
| Entity Type | Individual |
| Full Name | SERGIO GALVAN |
| Credential | LADAC |
| Practice Address |
Alt Recovery Group 1141 Mall Drive Suite E Las Cruces NM 88011 |
| Mailing Address |
1141 Mall Dr Ste E Las Cruces NM 88011-8194 |
| Practice Telephone | 5755220660 |
| Practice Fax Number | 5755223151 |
| Mailing Telephone | 5755220660 |
| Mailing Fax Number | 5755223151 |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2018-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0086771 | NM | Behavioral Health & Social Service Providers |
| Street Address |
ALT RECOVERY GROUP 1141 MALL DRIVE SUITE E |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011 |
| 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 | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487164810 | Project Fernando, LLC | Counselor | 1100 S Main St Ste 6, Las Cruces, NM 88005-2917 | 2017-10-12 |
| 1871033167 | Innovative Recovery Services LLC | Counselor | 2051 Mars Ave, Apt D5, Las Cruces, NM 88012-7712 | 2017-03-06 |
| 1316492564 | Innovative Recovery of New Mexico | Counselor | 880 S Telshor Blvd Ste 110, Las Cruces, NM 88011-8682 | 2016-08-17 |
| 1477924447 | Amanda Kay Wiles | Counselor | 3391 Apple Cross Pl, Las Cruces, NM 88005-3714 | 2015-10-15 |
| 1184925992 | Maggie M. Segovia-osollo | Counselor | 1190 Foster, Las Cruces, NM 88001 | 2010-11-10 |
| 1063713998 | Novella G. Hernandez | Counselor | 1190 Foster Rd, Las Cruces, NM 88001-3775 | 2010-11-09 |
| 1871816629 | Gilbert Morales Jr. | Counselor | 251 N Roadrunner Pkwy Apt 2404, Las Cruces, NM 88011-7040 | 2010-03-09 |
| 1053540039 | Janis A Thompson | Counselor | 5243 Cochise Trl, Las Cruces, NM 88012-9737 | 2009-07-10 |
| 1801051867 | Lee King | Counselor | 1051 N Solano Dr, Las Cruces, NM 88001-2348 | 2008-07-18 |
| 1912166927 | Sandra Class | Counselor | 1309 E Griggs Ave, Las Cruces, NM 88001-2905 | 2008-06-04 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88011 |
Please comment or provide details below to improve the information on SERGIO GALVAN.
| 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.