La Clinica Del Pueblo De Rio Arriba | |
Us Hwy 84, County Road 0324, #14, Tierra Amarilla, NM 87575-0250 | |
(575) 588-7252 | |
(575) 588-9132 |
Full Name | La Clinica Del Pueblo De Rio Arriba |
---|---|
Type | Facility |
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | Us Hwy 84, County Road 0324, #14, Tierra Amarilla, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598797805 | NPI | - | NPPES |
000050740 | Medicaid | NM | |
1891562674 | Other | NM | PHYSICAL THERAPIST |
1215129291 | Other | NM | AMBULANCE |
00050740 | Medicaid | NM | |
1467742015 | Other | NM | LUIGI A. DULANTO, M.D. |
1366581373 | Other | NM | JODI K. CASADOS |
1730472085 | Other | NM | LEVI I. MAES, M.D. |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Tamara A Singleton |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881779304 PECOS PAC ID: 6305926288 Enrollment ID: I20080104000215 |
Provider Name | Jodi K Casados |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366581373 PECOS PAC ID: 6901989342 Enrollment ID: I20080208000249 |
Provider Name | Maxsimo C Torres |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932190675 PECOS PAC ID: 5698890291 Enrollment ID: I20100920001022 |
Provider Name | Levi I Maes |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730472085 PECOS PAC ID: 6406090174 Enrollment ID: I20150916000351 |
Mailing Address | Practice Location Address |
---|---|
La Clinica Del Pueblo De Rio Arriba Po Box 250, Us Hwy 84, County Road 0324, #14, Tierra Amarilla, NM 87575-0250 Ph: (575) 588-7252 | La Clinica Del Pueblo De Rio Arriba Us Hwy 84, County Road 0324, #14, Tierra Amarilla, NM 87575-0250 Ph: (575) 588-7252 |