National Provider Identifier Database

FERNANDO J INDACOCHEA, MD – NPI #1720089519
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

FERNANDO J INDACOCHEA, MD
4401 E. LOHMAN AVE.
SUITE A
LAS CRUCES, NM88011
Phone: 575-532-9077
Fax: 575-532-9221
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for FERNANDO J INDACOCHEA

NPI Number 1720089519
Credentials MD
Entity Individual
Enumeration date 08/03/2005
Last updated 09/22/2020 - About 6 years ago
Sole proprietor1 No
Identifiers
  • NM License #: MD2012-0871
  • WV Medicaid: 0107734000
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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