| Mrs Kresta S Antillon, | |
|
145 Don Pasqual Rd Nw, Los Lunas, NM 87031-8841 | |
| (505) 865-4618 | |
| (505) 224-8727 |
| Full Name | Mrs Kresta S Antillon |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 145 Don Pasqual Rd Nw, Los Lunas, 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 |
|---|---|---|---|
| 1861887192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD2018-0733 (New Mexico) | Primary |
| Entity Name | First Choice Community Healthcare, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902993132 PECOS PAC ID: 7315854049 Enrollment ID: O20040121001003 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kresta S Antillon, Msc 09 5040, 1 University Of New Mexico, Albuquerque, NM 87131-0001 Ph: (505) 994-5300 | Mrs Kresta S Antillon, 145 Don Pasqual Rd Nw, Los Lunas, NM 87031-8841 Ph: (505) 865-4618 |
Dr. Jeanne-elyse Gray Cedeno, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 127 Sandoval Rd Sw, Los Lunas, NM 87031 Phone: 505-865-3373 | |
Rodrigo Perez-resendiz, PA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 145 Don Pasqual Rd Nw, Los Lunas, NM 87031 Phone: 505-865-4618 Fax: 505-224-8727 | |
Norah Elizabeth Walsh, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 111 Sandoval Rd Sw, Los Lunas, NM 87031 Phone: 505-565-4355 Fax: 505-565-4360 | |
Sharon Marie Mullis, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Emilio Lopez Rd Nw, Pmg Los Lunas, Los Lunas, NM 87031 Phone: 505-866-2700 Fax: 505-866-2701 | |
Dr. Laura C Ulibarri, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 127 Sandoval Rd Sw, Los Lunas, NM 87031 Phone: 505-865-3373 | |
Dr. Mark Roque Sanchez, M.D., Family Medicine Medicare: Medicare Enrolled Practice Location: 200 Emilio Lopez Rd Nw, Los Lunas, NM 87031 Phone: 505-866-2700 Fax: 505-866-2701 | |
Karissa Ryann Vasquez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Emilio Lopez Rd, Los Lunas, NM 87031 Phone: 505-866-2700 Fax: 505-866-2701 |