Individual provider
MR. JEREMY JAMES BALDILLEZ
CMS NPPES lists MR. JEREMY JAMES BALDILLEZ as an individual provider record with NPI 1003004359. The current record reports a primary practice location in LAS CRUCES, NM and primary taxonomy code 103TS0200X.
Type 1 NPIs identify individual healthcare providers. How to read this profile
01
Practice locations
- Primary practice location3100 OAK STLAS CRUCES, NM 880053425
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
103TS0200XPrimary reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
03
NPI record information
- NPI status
- Enumerated in NPPES
- Enumeration date
- October 11, 2007
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.