Healthcare Provider Details

I. General information

NPI: 1609496207
Provider Name (Legal Business Name): 3 CROSSES ORTHOPAEDIC SPINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2020
Last Update Date: 05/19/2021
Certification Date: 05/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2550 SAMARITAN DR STE 221
LAS CRUCES NM
88001-1170
US

IV. Provider business mailing address

PO BOX 1560
LAS CRUCES NM
88004-1560
US

V. Phone/Fax

Practice location:
  • Phone: 575-525-3535
  • Fax: 505-527-0217
Mailing address:
  • Phone: 575-202-9783
  • Fax: 575-395-9115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PAUL SAIZ
Title or Position: SOLE MEMBER
Credential: MD
Phone: 575-525-3535