| Los Portales Llc | |
|
300 Highway 28 Anthony NM 88021-8546 | |
| (915) 229-0125 | |
| Not Available |
| Full Name | Los Portales Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 300 Highway 28, Anthony, New Mexico |
| Authorized Official Name and Position | Oscar Del Valle (MANAGER) |
| Authorized Official Contact | 9152290125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Los Portales Llc Po Box 13489 El Paso TX 79913-3489 Ph: (915) 229-0125 | Los Portales Llc 300 Highway 28 Anthony NM 88021-8546 Ph: (915) 229-0125 |
| NPI Number | 1689131427 |
|---|---|
| Provider Enumeration Date | 02/28/2019 |
| Last Update Date | 02/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689131427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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