| Nuevo Dia Behavioral Health Care Llc | |
|
1570 W Picacho Ave Ste 2 Las Cruces NM 88005-2375 | |
| (575) 571-9076 | |
| Not Available |
| Full Name | Nuevo Dia Behavioral Health Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1570 W Picacho Ave Ste 2, Las Cruces, New Mexico |
| Authorized Official Name and Position | Fernando Javier Guillen (NURSE PRACTITIONER) |
| Authorized Official Contact | 5755719076 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nuevo Dia Behavioral Health Care Llc 2007 Turrentine Dr Las Cruces NM 88005-3344 Ph: (575) 386-3234 | Nuevo Dia Behavioral Health Care Llc 1570 W Picacho Ave Ste 2 Las Cruces NM 88005-2375 Ph: (575) 571-9076 |
| NPI Number | 1669004073 |
|---|---|
| Provider Enumeration Date | 02/05/2020 |
| Last Update Date | 02/05/2020 |
| Certification Date | 02/05/2020 |
| Medicare PECOS PAC ID | 6002229598 |
|---|---|
| Medicare Enrollment ID | O20201230000005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669004073 | NPI | - | NPPES |
| Provider Name | Fernando Javier Guillen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861974024 PECOS PAC ID: 1052656196 Enrollment ID: I20181218003597 |
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