NM OPTIMUM MEDICAL GROUP, LLC
NPI 1184005860
Specialist in Las Cruces, NM

Active since June 17, 2015
425 S TELSHOR BLVD # C201B, LAS CRUCES, NM 88011(575) 522-1200(575) 288-2063 Get Directions Write a Review

NPPES record last updated: February 15, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Nm Optimum Medical Group, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NM OPTIMUM MEDICAL GROUP, LLC (NPI 1184005860) is a healthcare organization registered as a specialist in Las Cruces, New Mexico and active in the NPI registry since June 2015. The organization lists Marcos Estrada, President, as its authorized official.

NPPES Registry Identity

NPI1184005860
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameNM OPTIMUM MEDICAL GROUP, LLC
Location Address425 S TELSHOR BLVD # C201BLas Cruces, NM 88011-8235
Mailing Address425 S Telshor Blvd # C201bLas Cruces, NM 88011-8235 · (575) 522-1200 · Fax (575) 288-2063
Fax(575) 288-2063
Organization SubpartNo
Authorized OfficialMarcos EstradaPresident · (575) 522-1200
Enumeration DateJune 17, 2015
Last NPPES UpdateFebruary 15, 2017
NPI 1184005860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NM · MD2012-0160
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
425 S TELSHOR BLVD # C201B, Las Cruces, NM 88011

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Nephrology)
425 S TELSHOR BLVD # C201B
LAS CRUCES, NM 88011

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nm Optimum Medical Group, LLC's NPI number?

The NPI number for Nm Optimum Medical Group, LLC is 1184005860. It was assigned to this organization in the NPPES registry on June 17, 2015.

Where is Nm Optimum Medical Group, LLC located?

Nm Optimum Medical Group, LLC is located at 425 S Telshor Blvd # C201b, Las Cruces, NM 88011. The listed phone number is (575) 522-1200.

What is Nm Optimum Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Nm Optimum Medical Group, LLC was last updated on February 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.