IndividualActive
Roberto Medina, CCP
NPI 1356525091 · Perfusionist · Las Cruces, NM
Provider details
- NPI number
- 1356525091
- Entity type
- Individual
- Primary specialty
- PerfusionistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CCP
- Sex
- Male
- Sole proprietor
- No
- License
- PF0495 (TX)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
4604 Sandalwood Dr
Las Cruces, NM 88011-9627
Phone: (505) 522-2418
Approximate (ZIP-level) locationGet directions
Mailing address
4604 Sandalwood Dr
Las Cruces, NM 88011-9627
Registry dates
- Enumerated
- 2007-12-18
- Last updated
- 2007-12-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.