Mr Larry Alonso, FNP-BC is a
Nurse Practitioner - Family based in San Fidel, New Mexico. Mr Larry Alonso is licensed to practice in New Mexico (license number R54136) and his current practice location is
Acoma-acoma-laguna Hospital, Exit 102 Off Hwy I-40, San Fidel, New Mexico. He can be reached at his office (for appointments etc.) via phone at
(505) 831-6300.
NPI number for Mr Larry Alonso is 1861414914 and his current mailing address is 10221 Green River Pl Nw, Albuquerque, New Mexico. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861414914.
Provider's Profile
Full Name | Mr Larry Alonso |
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Gender | Male |
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Speciality | Nurse Practitioner - Family |
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Location | Acoma-acoma-laguna Hospital, San Fidel, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861414914
- Provider Enumeration Date: 07/24/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Larry Alonso such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861414914 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | R54136 (New Mexico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Larry Alonso is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Larry Alonso, FNP-BC 10221 Green River Pl Nw, Albuquerque, NM 87114-3966 Ph: (505) 977-2967 | Mr Larry Alonso, FNP-BC Acoma-acoma-laguna Hospital, Exit 102 Off Hwy I-40, San Fidel, NM 87049 Ph: (505) 831-6300 |
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