Healthcare Provider Details

I. General information

NPI: 1588302434
Provider Name (Legal Business Name): RAMON VALLES GAMEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2022
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2560 SAMARITAN DR
LAS CRUCES NM
88001-1170
US

IV. Provider business mailing address

4801 ALBERTA AVE
EL PASO TX
79905-2707
US

V. Phone/Fax

Practice location:
  • Phone: 575-800-3868
  • Fax: 575-592-2224
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD2026-0648
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberV9166
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberBP10081515
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: