Search › New Mexico › Family Medicine Physician
Amanda Provencio, MD
NPI 1558855650 · on the registry since 2018
Practice
- Address
- 1240 S Telshor Blvd Ste A
Las Cruces, NM 88011 - Phone
- (575) 259-3638
- Fax
- (855) 538-0781
- Organisation at this address
- Mario R. Aguilar, M.D.,P.C.
Mesilla Valley Pain Clinic, Llc
Healthy You Personalized Primary CareInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-08-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico