| Buen Salud Inc | |
|
101 Livingston Loop Ste C1 Santa Teresa NM 88008-9753 | |
| (575) 824-9000 | |
| (866) 232-9241 |
| Full Name | Buen Salud Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 101 Livingston Loop Ste C1, Santa Teresa, New Mexico |
| Authorized Official Name and Position | Claudia Naranjo (CEO/ADMINISTRATOR) |
| Authorized Official Contact | 5758249000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Buen Salud Inc Po Box 1063 Santa Teresa NM 88008-1063 Ph: (575) 332-4271 | Buen Salud Inc 101 Livingston Loop Ste C1 Santa Teresa NM 88008-9753 Ph: (575) 824-9000 |
| NPI Number | 1275858490 |
|---|---|
| Provider Enumeration Date | 03/30/2010 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 9931337060 |
|---|---|
| Medicare Enrollment ID | O20140116000818 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275858490 | NPI | - | NPPES |
| 3339723 | Medicaid | TX | |
| 75927551 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Crystal Heredia-sanchez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780719658 PECOS PAC ID: 7012074461 Enrollment ID: I20090330000354 |
| Provider Name | Maria Adelina Frisbie-veal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407043300 PECOS PAC ID: 9032381819 Enrollment ID: I20111021000062 |
| Provider Name | Samuel Martin Nunez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083654537 PECOS PAC ID: 5890710990 Enrollment ID: I20140609001026 |
| Provider Name | Peter Norman Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508061169 PECOS PAC ID: 2567480965 Enrollment ID: I20150116001148 |
| Provider Name | Omar E Torres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992733794 PECOS PAC ID: 3779632963 Enrollment ID: I20160718000753 |
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