OrganizationActive
Taos Sports Medicine Srvs LLC
NPI 1225069230 · Physical Medicine & Rehabilitation Physician · Taos, NM
Provider details
- NPI number
- 1225069230
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jocelyn Lucero, Office Manager(505) 737-0304
- License
- NM3072 (NM)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1398 Weimer Rd
Ste 203
Taos, NM 87571
Phone: (505) 737-0304
Fax: (505) 737-0383
Approximate (ZIP-level) locationGet directions
Mailing address
1398 Weimer Rd
Taos, NM 87571
Other names (DBA / former)
- Doing business as
- Taos Mri
Registry dates
- Enumerated
- 2006-07-06
- Last updated
- 2007-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.