Healthcare Provider Details

I. General information

NPI: 1760357453
Provider Name (Legal Business Name): REGENX CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2025
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

717 ENCINO PL NE STE 2
ALBUQUERQUE NM
87102-2622
US

IV. Provider business mailing address

717 ENCINO PL NE STE 2
ALBUQUERQUE NM
87102-2622
US

V. Phone/Fax

Practice location:
  • Phone: 505-206-2847
  • Fax: 505-485-0793
Mailing address:
  • Phone: 505-206-2847
  • Fax: 505-485-0793

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ALEJANDRO SALCIDO
Title or Position: OWNER
Credential: NP
Phone: 505-206-2847