OrganizationActive
Hidalgo Medical Services
NPI 1801889878 · Federally Qualified Health Center (FQHC) · San Lorenzo, NM
Provider details
- NPI number
- 1801889878
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Hidalgo Medical Services
- Organization subpart
- Yes
- Authorized official
- Daniel Otero, Ceo(575) 542-2322
- License
- 3256 (NM)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2672 Nm Hwy 35
San Lorenzo, NM 88041
Phone: (575) 800-1467
Fax: (575) 536-3991
Street-level locationGet directions
Mailing address
530 De Moss St
Lordsburg, NM 88045-2618
Other names (DBA / former)
- Doing business as
- Hms Mimbres Valley Clinic
Registry dates
- Enumerated
- 2005-08-25
- Last updated
- 2024-06-12
- Certified
- 2024-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.