Jaime Emmanuel Valles, | |
1233 N Main St Ste 1a, San Luis, AZ 85336-0663 | |
(928) 550-5514 | |
Not Available |
Full Name | Jaime Emmanuel Valles |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 1233 N Main St Ste 1a, San Luis, Arizona |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457826224 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN158684 (Arizona) | Secondary |
363L00000X | Nurse Practitioner | 219043 (Arizona) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
San Luis Walk-in Clinic Inc | 2668361841 | 37 |
Entity Name | San Luis Walk-in Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104228337 PECOS PAC ID: 2668361841 Enrollment ID: O20040514000795 |
Mailing Address | Practice Location Address |
---|---|
Jaime Emmanuel Valles, Po Box 617, Somerton, AZ 85350-0617 Ph: (928) 315-7910 | Jaime Emmanuel Valles, 1233 N Main St Ste 1a, San Luis, AZ 85336-0663 Ph: (928) 550-5514 |
Taliah Anabell Torres, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1233 N Main St Ste 1a, San Luis, AZ 85336 Phone: 928-550-5514 | |
Ms. Adlene Joseph, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1896 E Babbitt Ln, San Luis, AZ 85349 Phone: 928-722-6112 Fax: 928-722-6113 | |
Larry Anthony Morales, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1233 N Main St Ste 1a, San Luis, AZ 85336 Phone: 928-550-5514 Fax: 928-550-5160 | |
Mrs. Leah K Mcnair, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1896 E. Babbit Lane, San Luis, AZ 85349 Phone: 928-627-9222 Fax: 928-627-8315 | |
Diana Lorena Monroy, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1233 N Main St Ste 1a, San Luis, AZ 85336 Phone: 928-550-5514 | |
Hector Israel De La Torre, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1233 N Main St Ste 1a, San Luis, AZ 85336 Phone: 928-550-5514 Fax: 928-722-6113 | |
Richard Nasiru Elelu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7125 East Cesar Chavez Boulevard, San Luis, AZ 85349 Phone: 928-627-8871 |