Manzanilla Health Llc | |
6727 Academy Rd Ne Ste C Albuquerque NM 87109-3369 | |
(505) 292-1818 | |
Not Available |
Full Name | Manzanilla Health Llc |
---|---|
Speciality | General Practice |
Location | 6727 Academy Rd Ne Ste C, Albuquerque, New Mexico |
Authorized Official Name and Position | Sara Schwartz (CO-PRESIDENT) |
Authorized Official Contact | 5054018322 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Manzanilla Health Llc 169 Tierra Encantada Corrales NM 87048-6811 Ph: (505) 401-8322 | Manzanilla Health Llc 6727 Academy Rd Ne Ste C Albuquerque NM 87109-3369 Ph: (505) 292-1818 |
NPI Number | 1467263202 |
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Provider Enumeration Date | 01/20/2025 |
Last Update Date | 01/20/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467263202 | NPI | - | NPPES |
1013362953 | Medicaid | NM | |
1083078430 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
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