Individual
SERGIO A. HUERTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1135 S MAIN ST STE B, LAS CRUCES, NM 88005-2946
(575) 525-4000
(575) 525-4040
Mailing address
2801 E MISSOURI, SUITE 37, LAS CRUCES, NM 88011
(575) 521-9485
(575) 522-1470
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A-732-81
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10003327
LOVELACE SALUD
NM
01
—
201004552
PRESBYTERIAN SALUD
NM
05
—
42796
—
NM
01
—
NM011473
BCBS & HMO OF NM
NM
01
—
P00095766
RR MEDICARE
NM
Enumeration date
04/07/2006
Last updated
09/14/2020
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