Henao, Jose Luis
Henao, Jose Luis is an individual health care provider with primary practice located at 3900 E Lohman Ave Ste B , Las Cruces NM 88011-8268. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Henao, Jose Luis can be contacted via phone (575) 522-5752.Contact Information
Primary practice address
3900 E Lohman Ave Ste B
Las Cruces NM 88011-8268
Phone: (575) 522-5752
Fax: (575) 522-5722
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | MD2023-1540 | New Mexico |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 13298 | South Dakota |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1275067613 |
|---|---|
| LBN Legal business name | Henao, Jose Luis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2017 |
| Last updated | Oct 27th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275067613 | NPPES |
| New Mexico | Other | 6L7121 | MEDICARE |
| New Mexico | MEDICAID | 15136728 | MEDICARE |
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