Provider Demographics
NPI:1760357453
Name:REGENX CARE LLC
Entity type:Organization
Organization Name:REGENX CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEJANDRO
Authorized Official - Middle Name:
Authorized Official - Last Name:SALCIDO
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:505-206-2847
Mailing Address - Street 1:717 ENCINO PL NE STE 2
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87102-2622
Mailing Address - Country:US
Mailing Address - Phone:505-206-2847
Mailing Address - Fax:505-485-0793
Practice Address - Street 1:717 ENCINO PL NE STE 2
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102-2622
Practice Address - Country:US
Practice Address - Phone:505-206-2847
Practice Address - Fax:505-485-0793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-10
Last Update Date:2025-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty