Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Family Practice Medical and Dietetic Medical Therapy

Organization Registered Dietitian · NPI 1609199447

Family Practice Medical and Dietetic Medical Therapy is a Registered Dietitian in Las Cruces, New Mexico. Licensed in New Mexico and Texas. Registered with an NPI since 2010.

Licensed in
NM, TX
In the registry since
2010
Specialties on file
3

Practice location Address checks out

2904 Hillrise Dr
Las Cruces, NM 88011-4702
Phone: (575) 532-5386
Fax: (575) 532-5449
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence CNP00942 (NM)
Registered Dietitian Taxonomy 133V00000X · Licence DT06119 (TX)
Registered Dietitian Taxonomy 133V00000X · Licence LD0748 (NM)

Record details

NPI number1609199447
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jose Rosales — Owner · (575) 532-5386
NPI enumeratedMarch 8, 2010
Last updated in NPPESMarch 29, 2013
Mailing address2904 Hillrise Dr, Las Cruces, NM 88011-4702

Other providers in Las Cruces