El Rito Clinic | |
Highway 571 #28 El Rito NM 87530-0237 | |
(575) 581-4728 | |
(575) 581-0030 |
Full Name | El Rito Clinic |
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Speciality | Clinic/Center |
Location | Highway 571 #28, El Rito, New Mexico |
Authorized Official Name and Position | Andy R. Lopez (CEO) |
Authorized Official Contact | 5055814728 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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El Rito Clinic Hwy 571 #28 El Rito NM 87530-0237 Ph: (575) 581-4728 | El Rito Clinic Highway 571 #28 El Rito NM 87530-0237 Ph: (575) 581-4728 |
NPI Number | 1053314831 |
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Provider Enumeration Date | 05/24/2005 |
Last Update Date | 05/27/2015 |
Medicare PECOS PAC ID | 1456252428 |
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Medicare Enrollment ID | O20040114000457 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053314831 | NPI | - | NPPES |
47704 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 6254 (New Mexico) | Primary |
Provider Name | Luigi Dulanto |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1578674255 PECOS PAC ID: 9032177324 Enrollment ID: I20050222000051 |
Provider Name | Gina Bridgette Perez Baron |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275703118 PECOS PAC ID: 3476699794 Enrollment ID: I20090930000045 |
Provider Name | Ann N Smith |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982695961 PECOS PAC ID: 0749472058 Enrollment ID: I20101005000828 |
Provider Name | Julie Craig |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437362837 PECOS PAC ID: 0345429106 Enrollment ID: I20110125001101 |
Provider Name | Raj Inder K Khalsa |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801988662 PECOS PAC ID: 8224043716 Enrollment ID: I20110721000265 |
Provider Name | Kathleen E Maley |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1396719274 PECOS PAC ID: 8628246485 Enrollment ID: I20110721000361 |
Provider Name | Jeanne M Alvarez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871599233 PECOS PAC ID: 4688695141 Enrollment ID: I20110721000391 |
Provider Name | Denise M Fallwell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437113545 PECOS PAC ID: 7719150903 Enrollment ID: I20111103000601 |
Provider Name | Tanya Gallegos |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417233107 PECOS PAC ID: 5395912414 Enrollment ID: I20120112000585 |
Provider Name | Monique B Garcia |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1568796811 PECOS PAC ID: 4688831290 Enrollment ID: I20120209000720 |
Provider Name | James L Graham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063446821 PECOS PAC ID: 1557344918 Enrollment ID: I20131205001150 |
Provider Name | Georgina F. Gomez-lieberman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932539152 PECOS PAC ID: 7012145741 Enrollment ID: I20140102000136 |
Provider Name | Adriana M Gonzales |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659798775 PECOS PAC ID: 2961625355 Enrollment ID: I20140604000737 |
Provider Name | Kristin Nicole Wilson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851747596 PECOS PAC ID: 5799077095 Enrollment ID: I20160707000164 |
Provider Name | Pamela A Yven |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619347374 PECOS PAC ID: 8022317163 Enrollment ID: I20160720002346 |
Provider Name | Jennifer J Martinez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679026371 PECOS PAC ID: 6800183864 Enrollment ID: I20160920001337 |
Provider Name | Jennifer A Rabinowitz |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1881032456 PECOS PAC ID: 0648556878 Enrollment ID: I20170424001197 |
Provider Name | Leticia A Luketich Martinez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205327715 PECOS PAC ID: 1254696628 Enrollment ID: I20180606000847 |
Provider Name | Ricardo R Gonzales |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1932185840 PECOS PAC ID: 1355591017 Enrollment ID: I20190731003192 |
Provider Name | Elektra Badash |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053920587 PECOS PAC ID: 9133545981 Enrollment ID: I20200811003371 |
Provider Name | Yonna F Swingholm |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1124123229 PECOS PAC ID: 0345650784 Enrollment ID: I20201201001359 |
Provider Name | Aileen Liong |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477152619 PECOS PAC ID: 7113338708 Enrollment ID: I20201203001514 |
Provider Name | Stacia Roum |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1801427695 PECOS PAC ID: 0345653671 Enrollment ID: I20210106001127 |
Provider Name | Rory Mcguill |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1598143141 PECOS PAC ID: 6507273927 Enrollment ID: I20210401000604 |
Provider Name | Kathelene A Williams Turk |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1205844875 PECOS PAC ID: 2062719974 Enrollment ID: I20220401001141 |
Provider Name | Gabriela M Lemus |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407599343 PECOS PAC ID: 1759766181 Enrollment ID: I20220921000126 |
Provider Name | Jennifer Lynn Castaneda-lovato |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588355721 PECOS PAC ID: 4183081391 Enrollment ID: I20230602001802 |
Provider Name | Paul C Yoon |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1174610455 PECOS PAC ID: 6002270279 Enrollment ID: I20230907001184 |
Provider Name | Brenda A Alcocer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043085814 PECOS PAC ID: 2769825728 Enrollment ID: I20240206003881 |
Provider Name | Robert Winthrop Deane |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1508912650 PECOS PAC ID: 9436509783 Enrollment ID: I20240426000022 |
Provider Name | Samantha Brenner |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1447931183 PECOS PAC ID: 4981045457 Enrollment ID: I20240515001113 |
Provider Name | Deborah Laduke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720834583 PECOS PAC ID: 9032651849 Enrollment ID: I20240607003059 |
Tamars Singleton Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1167a Hwy 554, El Rito, NM 87530 Phone: 575-581-0033 Fax: 575-581-0034 |