Alonzo Medina, MS
Specialist in Anthony, NM. Individual provider (NPI-1).
NPI number1386767390
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1386767390
- Entity type
- Individual (NPI-1)
- Name
- Alonzo Medina
- Credential
- MS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 6, 2007
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
820 Hwy 478Anthony, NM 88021
Phone 505-882-5101 · Fax 505-882-6127
Mailing address
P.O. Box 2285Las Cruces, NM 88004
Phone 505-882-5101 · Fax 505-882-6127
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All 19 Specialist providers in Anthony · All 359 providers in Anthony
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