| Jose Luis Guzman Jr, RDN, LD | |
|
1209 Mountain Road Pl Ne # 5906, Albuquerque, NM 87110-7845 | |
| (815) 603-3305 | |
| Not Available |
| Full Name | Jose Luis Guzman Jr |
|---|---|
| Gender | Male |
| Speciality | Dietitian, Registered |
| Location | 1209 Mountain Road Pl Ne # 5906, Albuquerque, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972117661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | LD-1318 (New Mexico) | Primary |
| Provider Name | Ilivewell Nutrition Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1093150070 PECOS PAC ID: 5496186009 Enrollment ID: O20200515000498 |
| Provider Name | Nourish, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
| Mailing Address | Practice Location Address |
|---|---|
| Jose Luis Guzman Jr, RDN, LD 1209 Mountain Road Pl Ne # 5906, Albuquerque, NM 87110-7845 Ph: () - | Jose Luis Guzman Jr, RDN, LD 1209 Mountain Road Pl Ne # 5906, Albuquerque, NM 87110-7845 Ph: (815) 603-3305 |
Brian Galinato, RD, CDE Dietitian Medicare: Medicare Enrolled Practice Location: 8300 Constitution Ave Ne Bldg D, Albuquerque, NM 87110 Phone: 505-559-6400 | |
Ms. Patricia Lynn Rose, MA MS RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1501 San Pedro Dr Se, Albuquerque, NM 87108 Phone: 505-265-1711 | |
Elisabeth H. Ceysens, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2211 Lomas Blvd Ne, Albuquerque, NM 87106 Phone: 505-272-3172 | |
Stephanie Annette Moya, MD, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1501 San Pedro Dr Se, Albuquerque, NM 87108 Phone: 505-265-1711 Fax: 505-256-5455 | |
Ms. Samara Brill Alpern, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 717 Encino Pl Ne, Suite 28, Albuquerque, NM 87102 Phone: 505-338-4800 Fax: 505-338-4808 | |
Mrs. Erin Jane Kincaid, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1127 Univ Blvd Ne, Albuquerque, NM 87102 Phone: 618-420-5156 | |
Mrs. Lisa Akerson, RD LD CDE Dietitian Medicare: Medicare Enrolled Practice Location: 8800 Oakland Ave Ne, Albuquerque, NM 87122 Phone: 505-321-3560 |