ROBERTO E MEDINA (NPI# 1356525091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356525091 |
Entity Type | Individual |
Full Name | ROBERTO E MEDINA |
Credential | CCP |
Practice Address |
4604 Sandalwood Dr Las Cruces NM 88011-9627 |
Practice Telephone | 5055222418 |
Mailing Telephone | 5055222418 |
Enumeration Date | 2007-12-18 |
Last Update Date | 2007-12-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 242T00000X | Perfusionist | PF0495 | TX | Technologists, Technicians & Other Technical Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013559533 | Roberto Jose Medina | Chiropractor | 8678 Spring Mountain Rd Ste 110, Las Vegas, NV 89117-4103 | 2019-10-16 |
1023514361 | Roberto De Jesus Medina | Student in an Organized Health Care Education/Training Program | 424 Hahlo St, Houston, TX 77020-3022 | 2018-04-04 |
1063850147 | Roberto Eduardo Medina | Emergency Medicine | 309 Jackson St, Monroe, LA 71201-7407 | 2013-06-11 |
1457690588 | Roberto Santos Medina | Physical Therapist | 3033 Sarno Rd, Melbourne, FL 32934-7229 | 2013-02-09 |
1164696456 | Roberto E Medina | Radiology | 601 E Rollins St, Orlando, FL 32803-1248 | 2008-04-17 |
1588671994 | Roberto Medina | Internal Medicine | 14320 Bruce B Downs Blvd, Tampa, FL 33613 | 2006-08-01 |
1215977855 | Roberto M Medina | Specialist | 415 Silas Deane Hwy, Suite 210, Wethersfield, CT 06109-2124 | 2006-06-08 |
Street Address |
4604 SANDALWOOD DR |
City | LAS CRUCES |
State | NM |
Zip Code | 88011-9627 |
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 | 242T00000X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Perfusionist |
A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient’s circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used. |
Notes: Source: Health Professions Career and Education Directory, American Medical Association [1/1/2007: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851847180 | Shannon Vigil | Perfusionist | 829 Calle Juan Jose Vigil, Espanola, NM 87532 | 2016-08-28 |
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.