Organization
CASA ALEGRE PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOANNE M RAY DO (PRESIDENT)
(505) 532-5912
Entity
Organization
Contact information
Practice address
532 N TELSHOR BLVD, SUITE G, LAS CRUCES, NM 88011-8234
(505) 532-5912
(505) 532-5915
Mailing address
532 N TELSHOR BLVD, SUITE G, LAS CRUCES, NM 88011-8234
(505) 532-5912
(505) 532-5915
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A105096
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
J6791
—
NM
Enumeration date
07/19/2005
Last updated
08/22/2020
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