| New Mexico Psychological Medicine, Llc | |
|
1401 S Don Roser Dr Las Cruces NM 88011 | |
| (575) 520-2230 | |
| Not Available |
| Full Name | New Mexico Psychological Medicine, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1401 S Don Roser Dr, Las Cruces, New Mexico |
| Authorized Official Name and Position | Victor Torres (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 5755202230 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Mexico Psychological Medicine, Llc 112 Valle Calmado Anthony NM 88021-8745 Ph: (575) 520-2230 | New Mexico Psychological Medicine, Llc 1401 S Don Roser Dr Las Cruces NM 88011 Ph: (575) 520-2230 |
| NPI Number | 1205331121 |
|---|---|
| Provider Enumeration Date | 03/25/2018 |
| Last Update Date | 05/15/2018 |
| Medicare PECOS PAC ID | 7810242591 |
|---|---|
| Medicare Enrollment ID | O20180620003014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205331121 | NPI | - | NPPES |
| Provider Name | Alexander Kraft |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639485378 PECOS PAC ID: 5890079701 Enrollment ID: I20170221000796 |
| Provider Name | Elizabeth U Delgado-torres |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609079227 PECOS PAC ID: 9133405707 Enrollment ID: I20170413001752 |
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