| Nm Family Services Llc | |
|
5312 Rio Bravo Dr Ste 10 Santa Teresa NM 88008-9210 | |
| (575) 915-1338 | |
| Not Available |
| Full Name | Nm Family Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5312 Rio Bravo Dr Ste 10, Santa Teresa, New Mexico |
| Authorized Official Name and Position | Maria L Torres (DIRECTOR) |
| Authorized Official Contact | 5759151338 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nm Family Services Llc 5312 Rio Bravo Dr Ste 10 Santa Teresa NM 88008-9210 Ph: (575) 915-1338 | Nm Family Services Llc 5312 Rio Bravo Dr Ste 10 Santa Teresa NM 88008-9210 Ph: (575) 915-1338 |
| NPI Number | 1649697657 |
|---|---|
| Provider Enumeration Date | 03/27/2014 |
| Last Update Date | 06/09/2023 |
| Certification Date | 06/09/2023 |
| Medicare PECOS PAC ID | 3274754775 |
|---|---|
| Medicare Enrollment ID | O20141027001904 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649697657 | NPI | - | NPPES |
| 24256536 | Medicaid | NM |
| Provider Name | April A Alatorre |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1457418881 PECOS PAC ID: 9436188018 Enrollment ID: I20150501000382 |
| Provider Name | Abdallah R Azzam |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1528581980 PECOS PAC ID: 7416221742 Enrollment ID: I20170925002364 |
| Provider Name | Rhea Hazen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528627874 PECOS PAC ID: 5496084055 Enrollment ID: I20190906000851 |
| Provider Name | Lori A Gonzales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972870178 PECOS PAC ID: 4082852793 Enrollment ID: I20200114001979 |
| Provider Name | Denise Ann O Brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366692212 PECOS PAC ID: 3577639301 Enrollment ID: I20220103001348 |
| Provider Name | Thai D Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467547042 PECOS PAC ID: 1254435811 Enrollment ID: I20230831000948 |
| Provider Name | Kenyua Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669815478 PECOS PAC ID: 0941438998 Enrollment ID: I20230908002906 |
| Provider Name | Bricia Elena Trevino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508460908 PECOS PAC ID: 2769899434 Enrollment ID: I20230911002533 |
| Provider Name | Paola M Moreno Wazlavek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982914941 PECOS PAC ID: 3870984792 Enrollment ID: I20231129000801 |
| Provider Name | Talitha Rosalyn Dross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972028611 PECOS PAC ID: 4587017413 Enrollment ID: I20240126003908 |
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