Mangostana Llc is a
Clinic/center - Physical Therapy based in Albuquerque, New Mexico. Mangostana Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
1020 Coal Ave Se, Albuquerque, New Mexico. It can be reached at their office (for appointments etc.) via phone at
(505) 221-6475.
NPI number for Mangostana Llc is 1033991443 and their current mailing address is 6804 Kelly Ann Rd Ne, Albuquerque, New Mexico. Mangostana Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1033991443.
Healthcare Provider's Profile
Full Name | Mangostana Llc |
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Type | Facility |
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Speciality | Clinic/center - Physical Therapy |
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Location | 1020 Coal Ave Se, Albuquerque, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1033991443
- Provider Enumeration Date: 10/19/2023
- Last Update Date: 10/19/2023
Medical Identifiers
Medical identifiers for Mangostana Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033991443 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | 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. Mangostana Llc 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 |
Mangostana Llc 6804 Kelly Ann Rd Ne, Albuquerque, NM 87109-3769 Ph: (505) 221-6475 | Mangostana Llc 1020 Coal Ave Se, Albuquerque, NM 87106-5206 Ph: (505) 221-6475 |
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