Provider Demographics
NPI:1457747289
Name:LERMA, HECTOR (MD)
Entity type:Individual
Prefix:
First Name:HECTOR
Middle Name:
Last Name:LERMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2455 MISSOURI AVE STE B
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88001-5122
Mailing Address - Country:US
Mailing Address - Phone:575-222-1834
Mailing Address - Fax:575-222-2288
Practice Address - Street 1:2455 MISSOURI AVE STE B
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88001-5122
Practice Address - Country:US
Practice Address - Phone:575-222-1834
Practice Address - Fax:575-222-2288
Is Sole Proprietor?:No
Enumeration Date:2015-04-08
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NMMD2018-0055207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine