PECOS VALLEY OF NEW MEXICO, LLC
NPI 1194781021
General Practice in Carlsbad, NM

Q: What is the provider's specialty?

The provider's specialty is General Practice with taxonomy code 208D00000X.

Active since April 20, 2006CLIA Certified · 6 labs

2430 W PIERCE ST, CARLSBAD, NM 88220(505) 628-3244 Get Directions Write a Review

NPPES record last updated: February 25, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Pecos Valley Of New Mexico, Llc NPPES

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

PECOS VALLEY OF NEW MEXICO, LLC (NPI 1194781021) is a healthcare organization registered as a general practice in Carlsbad, New Mexico and active in the NPI registry since April 2006. The organization holds 6 active CLIA laboratory certificates and lists Debbie T Brewer, Director, as its authorized official.

NPPES Registry Identity

NPI1194781021

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NamePECOS VALLEY OF NEW MEXICO, LLC

Location Address2430 W PIERCE STCarlsbad, NM 88220-3553

Mailing Address2420 W Pierce St, Suite BCarlsbad, NM 88220-3543 · (505) 628-3244

Phone(505) 628-3244

Organization SubpartNo

Authorized OfficialDebbie T BrewerDirector · (877) 892-9813

Enumeration DateApril 20, 2006

Last NPPES UpdateFebruary 25, 2008

✔ NPI 1194781021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

2430 W PIERCE ST, Carlsbad, NM 88220

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Other Identifiers 1

Medicaid16050363NM

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

CLIA Laboratory Certificates CMS CLIA 7

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 32D0956535

Pecos Valley Of New Mexico LLC Dba Womens Health Services · Carlsbad, NM

Active · expires Feb 6, 2028

CLIA Number32D0956535

Laboratory TypePhysician Office

Certificate Effective DateFebruary 7, 2026

Certificate Expiration DateFebruary 6, 2028

Laboratory DirectorDr. Mario Toledo Couret

Laboratory Phone(575) 885-0995

Laboratory LocationPecos Valley Of New Mexico LLC Dba Womens Health Services2420 W Pierce Street Suite 200 & 105, Carlsbad, NM 88220

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 32D0537539

Pecos Valley Of New Mexico LLC Dba Pecos Valley Internal Medicine · Carlsbad, NM

Active · expires Aug 12, 2027

CLIA Number32D0537539

Laboratory TypePhysician Office

Certificate Effective DateAugust 13, 2025

Certificate Expiration DateAugust 12, 2027

Laboratory DirectorDr. Julio C. Munoz

Laboratory Phone(575) 628-5051

Laboratory LocationPecos Valley Of New Mexico LLC Dba Pecos Valley Internal Medicine2420 West Pierce Street Suite 205, Carlsbad, NM 88220

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 32D2280185

Pecos Valley Of New Mexico LLC Dba Pecos Valley Primary Care · Carlsbad, NM

Active · expires Apr 13, 2027

CLIA Number32D2280185

Laboratory TypePhysician Office

Certificate Effective DateApril 14, 2025

Certificate Expiration DateApril 13, 2027

Laboratory DirectorJulio Munoz

Laboratory Phone(575) 628-5013

Laboratory LocationPecos Valley Of New Mexico LLC Dba Pecos Valley Primary Care2420 W Pierce St Ste 205b, Carlsbad, NM 88220

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 32D2331442

Pecos Valley Of Nm LLC, Dba Pecos Valley Urology · Carlsbad, NM

Active · expires Sep 30, 2027

CLIA Number32D2331442

Laboratory TypePhysician Office

Certificate Effective DateOctober 1, 2025

Certificate Expiration DateSeptember 30, 2027

Laboratory DirectorMitchell Petty

Laboratory Phone(575) 628-5065

Laboratory LocationPecos Valley Of Nm LLC, Dba Pecos Valley Urology2420 W Pierce St Ste 102, Carlsbad, NM 88220

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 32D2012792

Pecos Valley Of New Mexico LLC Dba Cottonwood Pediatrics · Carlsbad, NM

Active · expires Apr 24, 2028

CLIA Number32D2012792

Laboratory TypePhysician Office

Certificate Effective DateApril 25, 2026

Certificate Expiration DateApril 24, 2028

Laboratory DirectorKalea Shoemake

Laboratory Phone(575) 628-5013

Laboratory LocationPecos Valley Of New Mexico LLC Dba Cottonwood Pediatrics2402 W Piece St Ste 2a, Carlsbad, NM 88220

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 32D2311367

Pecos Valley Of New Mexico, LLC Dba The Surgery Group Of Carlsbad · Carlsbad, NM

Active · expires Sep 19, 2026

CLIA Number32D2311367

Laboratory TypePhysician Office

Certificate Effective DateSeptember 20, 2024

Certificate Expiration DateSeptember 19, 2026

Laboratory DirectorAbdul H. Qureshi

Laboratory Phone(575) 628-5013

Laboratory LocationPecos Valley Of New Mexico, LLC Dba The Surgery Group Of Carlsbad2410 W Pierce St, Carlsbad, NM 88220

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

SHARON HOLLENKAMP CRNA

Nurse Anesthetist, Certified Registered