| Dr Raquel Irene Cisneros, MD | |
|
500 N. Mundo Dr., Dulce, NM 87528 | |
| (575) 759-3291 | |
| (575) 759-7294 |
| Full Name | Dr Raquel Irene Cisneros |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 14 Years |
| Location | 500 N. Mundo Dr., Dulce, New Mexico |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801186341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD2014-0075 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Presbyterian Hospital | Albuquerque, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Presbyterian Healthcare Services | 9234041708 | 1179 |
| Entity Name | Presbyterian Healthcare Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Raquel Irene Cisneros, MD Po Box 187, Dulce, NM 87528-0187 Ph: (575) 759-3291 | Dr Raquel Irene Cisneros, MD 500 N. Mundo Dr., Dulce, NM 87528 Ph: (575) 759-3291 |
Sirpa T. Autio, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 500 N Mundo, Dulce, NM 87528 Phone: 575-759-3291 Fax: 575-759-3532 | |
Ms. Jennifer Lea Lea Claycomb, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 North Mundo, Dulce, NM 87528 Phone: 505-759-3291 Fax: 505-759-3532 | |
Dr. Joan E Kandel, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 90 Medicine Way, Dulce, NM 87528 Phone: 505-360-5995 | |
Steven John Petrakis, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 500 North Mundo, Dulce, NM 87528 Phone: 575-759-3291 Fax: 575-759-7294 | |
Dr. Bichson Pham, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 North Mundo, Dulce, NM 87528 Phone: 575-759-3291 | |
Steven Paul Gross, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12000 Stone Lake Road, Dulce, NM 87528 Phone: 575-759-7232 Fax: 575-759-7294 |