Huerta, Sergio A.
Huerta, Sergio A. is an individual health care provider with primary practice located at 1135 S Main St Ste B , Las Cruces NM 88005-2946. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Huerta, Sergio A. can be contacted via phone (575) 525-4000.Contact Information
Primary practice address
1135 S Main St Ste B
Las Cruces NM 88005-2946
Phone: (575) 525-4000
Fax: (575) 525-4040
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A-732-81 | New Mexico |
Profile Details
| NPI number | 1649233008 |
|---|---|
| LBN Legal business name | Huerta, Sergio A. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2006 |
| Last updated | Sep 14th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649233008 | NPPES |
| New Mexico | MEDICAID | 42796 | |
| New Mexico | Other | NM011473 | |
| New Mexico | Other | P00095766 | |
| New Mexico | Other | 201004552 | |
| New Mexico | Other | 10003327 |
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