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NPI Code Detail

MEDICARE: ADVANCED HEART & VASCULAR CENTER OF CARLSBAD NEW MEXICO

MEDICARE: ADVANCED HEART & VASCULAR CENTER OF CARLSBAD NEW MEXICO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417600230
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED HEART & VASCULAR CENTER OF CARLSBAD NEW MEXICO
Provider Business Mailing Address
First Line : 1619 SKYLINE CIR STE A
Second Line :
City : CARLSBAD
State : NM
Zip : 88220-9842
Country : US
Telephone Number : 575-941-4400
Fax Number : 833-620-2406
Provider Business Practice Location Address
First Line : 1619 SKYLINE CIR STE A
Second Line :
City : CARLSBAD
State : NM
Zip : 88220-9842
Country : US
Telephone Number : 575-941-4400
Fax Number : 833-620-2406
Authorized Official
Title or Position : DIRECTOR
Name : JESIRAE TORRES
Credential :
Telephone Number : 575-941-4400
Provider Enumeration Date : 02/01/2022
Last Update Date : 02/05/2026

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Directions to “ADVANCED HEART & VASCULAR CENTER OF CARLSBAD NEW MEXICO ” Practice Location

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