| Valor Llc | |
|
2008 Rosina St Ste #6 Santa Fe NM 87505-3271 | |
| (505) 699-5756 | |
| Not Available |
| Full Name | Valor Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2008 Rosina St, Santa Fe, New Mexico |
| Authorized Official Name and Position | Flavio Salazar (OWNER) |
| Authorized Official Contact | 5054662747 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valor Llc 24b Windspirit Rd Santa Fe NM 87505-1442 Ph: (505) 466-2747 | Valor Llc 2008 Rosina St Ste #6 Santa Fe NM 87505-3271 Ph: (505) 699-5756 |
| NPI Number | 1447643895 |
|---|---|
| Provider Enumeration Date | 03/10/2015 |
| Last Update Date | 03/18/2015 |
| Medicare PECOS PAC ID | 1951629336 |
|---|---|
| Medicare Enrollment ID | O20150528000489 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447643895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (New Mexico) | Primary |
| Provider Name | Flavio Salazar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447481270 PECOS PAC ID: 7315267689 Enrollment ID: I20150528002054 |
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