Mr Josue Giovani Villarreal, | |
4311 E Lohman Ave, Las Cruces, NM 88011-8255 | |
(575) 556-7600 | |
Not Available |
Full Name | Mr Josue Giovani Villarreal |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 4311 E Lohman Ave, Las Cruces, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952013831 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 70824 (New Mexico) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 70824 (New Mexico) | Primary |
Entity Name | Main Street Anesthesia Of New Mexico, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275010985 PECOS PAC ID: 3476807538 Enrollment ID: O20181108002622 |
Mailing Address | Practice Location Address |
---|---|
Mr Josue Giovani Villarreal, 8206 Louisiana Blvd Ne Ste A, Albuquerque, NM 87113-1738 Ph: (917) 996-9493 | Mr Josue Giovani Villarreal, 4311 E Lohman Ave, Las Cruces, NM 88011-8255 Ph: (575) 556-7600 |
Aaron Villarreal, CRNA,NSPM-C Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3851 E Lohman Ave. Suite 4, Las Cruces, NM 88011 Phone: 575-205-0280 Fax: 575-600-6010 | |
Jessica Quinteros, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 555 S Telshor Blvd, Las Cruces, NM 88011 Phone: 915-920-1747 | |
Andrew Jason Costin, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2450 S Telshor Blvd, Las Cruces, NM 88011 Phone: 575-522-8641 | |
Randall Alan Hamilton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2450 S Telshor Blvd, Las Cruces, NM 88011 Phone: 575-522-8641 | |
Daniel F Griffin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4311 E Lohman Ave, Las Cruces, NM 88011 Phone: 575-532-7033 | |
Ms. Catherine Elizabeth Boyle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 555 S Telshor Blvd Ste 100b, Las Cruces, NM 88011 Phone: 575-541-4206 Fax: 575-339-6001 | |
Brett A Skattum, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2450 S Telshor Blvd, Las Cruces, NM 88011 Phone: 575-522-8641 |