Valencia Health And Wellness, P.c | |
101 N 6th St Belen NM 87002-3605 | |
(505) 317-7773 | |
(855) 844-8611 |
Full Name | Valencia Health And Wellness, P.c |
---|---|
Speciality | Family Medicine |
Location | 101 N 6th St, Belen, New Mexico |
Authorized Official Name and Position | Jennifer Tafoya Trujillo (OWNER) |
Authorized Official Contact | 5052494456 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Valencia Health And Wellness, P.c 101 N 6th St Belen NM 87002-3605 Ph: (505) 317-7773 | Valencia Health And Wellness, P.c 101 N 6th St Belen NM 87002-3605 Ph: (505) 317-7773 |
NPI Number | 1598308801 |
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Provider Enumeration Date | 10/21/2019 |
Last Update Date | 12/20/2019 |
Medicare PECOS PAC ID | 3173956877 |
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Medicare Enrollment ID | O20191211001638 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598308801 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
Provider Name | Jon Otero |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1588671721 PECOS PAC ID: 9830165927 Enrollment ID: I20040909000725 |
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