Mr Pablo Juvencio Valerio, CNP | |
2625 Mcnutt Rd, Sunland Park, NM 88063-9608 | |
(575) 589-0887 | |
(575) 589-0898 |
Full Name | Mr Pablo Juvencio Valerio |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 2625 Mcnutt Rd, Sunland Park, 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 |
---|---|---|---|
1497358964 | NPI | - | NPPES |
93936524 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 1018786 (Texas) | Secondary |
363LF0000X | Nurse Practitioner - Family | 64224 (New Mexico) | Primary |
Entity Name | La Clinica De Familia, Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528424397 PECOS PAC ID: 6305745191 Enrollment ID: O20031231000076 |
Mailing Address | Practice Location Address |
---|---|
Mr Pablo Juvencio Valerio, CNP 385 Calle De Alegra Ste A, Las Cruces, NM 88005-3423 Ph: (575) 526-1105 | Mr Pablo Juvencio Valerio, CNP 2625 Mcnutt Rd, Sunland Park, NM 88063-9608 Ph: (575) 589-0887 |
Ms. Holly Linden Hartung, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2625 Mcnutt Rd, Sunland Park, NM 88063 Phone: 575-589-0887 Fax: 575-589-0898 | |
Mrs. Lynn Kimmel, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1290 Mcnutt Rd Ste C, Sunland Park, NM 88063 Phone: 575-249-3889 Fax: 575-249-3899 | |
Monica Arellano, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1685 Mcnutt Rd Ste 1, Sunland Park, NM 88063 Phone: 575-332-4888 | |
Jose Valdivia Jr., FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1580 Appaloosa Suite C310, Sunland Park, NM 88063 Phone: 575-332-9086 Fax: 575-332-9132 | |
Wanda J Poncik, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2625 Mcnutt Rd., Sunland Park, NM 88063 Phone: 575-589-0887 Fax: 575-589-0898 | |
Erika Pantoja, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2625 Mcnutt Rd, Sunland Park, NM 88063 Phone: 575-589-0887 Fax: 575-589-0898 |