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Taos Sports Medicine Srvs LLC

Physical Medicine & Rehabilitation Physician in Taos, NM · enumerated 2006 · authorized official Jocelyn Lucero, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1225069230

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Registry record

Entity type Organization (Type 2)
Legal business name Taos Sports Medicine Srvs LLC
Other name <Unavail>
Practice address 1398 Weimer Rd, Ste 203, Taos, NM, 87571
Phone (505) 737-0304
Fax (505) 737-0383
Enumeration date Jul 6, 2006
Last updated in NPPES Oct 16, 2007

Taxonomy & classification

208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians Primary
2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License NM3072 (NM) Secondary

Authorized official

Name Jocelyn Lucero
Title Office Manager
Phone (505) 737-0304

Other identifiers

Identifier Type State Issuer
PRCVA41646 Other NM MALINE SALUD
65377273 Medicaid NM -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Taos Sports Medicine Srvs LLC located?
The practice location on file with NPPES is in Taos, NM.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2007-10-16. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-10-16.