Organization
LAS CRUCES HOME THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENE DE LA VEGA M.D. (OWNER/DOCTOR)
(575) 521-1575
Entity
Organization
Contact information
Practice address
2919 HILLRISE DR, LAS CRUCES, NM 88011-4701
(575) 521-1575
(575) 521-1940
Mailing address
2919 HILLRISE DR, LAS CRUCES, NM 88011-4701
(575) 521-1575
(575) 521-1940
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
9031
NM
Other
Enumeration date
01/17/2012
Last updated
01/17/2012
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