| Viva Health | |
|
1580 Appaloosa Dr Ste C310 Sunland Park NM 88063-8904 | |
| (575) 642-6940 | |
| Not Available |
| Full Name | Viva Health |
|---|---|
| Speciality | Family Medicine |
| Location | 1580 Appaloosa Dr Ste C310, Sunland Park, New Mexico |
| Authorized Official Name and Position | Alfredo Jose Garcia (CEO) |
| Authorized Official Contact | 5756426940 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Viva Health 1580 Appaloosa Dr Ste C310 Sunland Park NM 88063-8904 Ph: (575) 642-6940 | Viva Health 1580 Appaloosa Dr Ste C310 Sunland Park NM 88063-8904 Ph: (575) 642-6940 |
| NPI Number | 1114514924 |
|---|---|
| Provider Enumeration Date | 12/28/2020 |
| Last Update Date | 05/07/2024 |
| Certification Date | 05/07/2024 |
| Medicare PECOS PAC ID | 5193111052 |
|---|---|
| Medicare Enrollment ID | O20220404000076 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114514924 | NPI | - | NPPES |
| 1194264952 | Medicaid | NM |
| Provider Name | Jose Valdivia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194264952 PECOS PAC ID: 6709162522 Enrollment ID: I20210825003385 |
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