| Southwest Pediatric And Family Care, Llc | |
|
1020 S 8th St Suite A Deming NM 88030-4007 | |
| (575) 936-4350 | |
| (575) 936-4351 |
| Full Name | Southwest Pediatric And Family Care, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1020 S 8th St, Deming, New Mexico |
| Authorized Official Name and Position | Joel Rene Roque (COO / CO-OWNER) |
| Authorized Official Contact | 5759364350 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Pediatric And Family Care, Llc 1020 S 8th St A Deming NM 88030-4007 Ph: (575) 936-4350 | Southwest Pediatric And Family Care, Llc 1020 S 8th St Suite A Deming NM 88030-4007 Ph: (575) 936-4350 |
| NPI Number | 1881089886 |
|---|---|
| Provider Enumeration Date | 04/06/2015 |
| Last Update Date | 05/16/2024 |
| Certification Date | 05/16/2024 |
| Medicare PECOS PAC ID | 4981917481 |
|---|---|
| Medicare Enrollment ID | O20150713001662 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881089886 | NPI | - | NPPES |
| 5558582 | Medicaid | NM | |
| 965048 | Medicaid | AZ | |
| 1376626564 | Other | AZ | TYPE 1 NPI FLORENCE C ROQUE |
| 48836893 | Medicaid | NM |
| Provider Name | Florence C Roque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376626564 PECOS PAC ID: 1850375304 Enrollment ID: I20150713001586 |
| Provider Name | Venus Robles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386223014 PECOS PAC ID: 4880002021 Enrollment ID: I20210428000418 |
| Provider Name | Carlos Ariel Vazquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326781386 PECOS PAC ID: 0749667624 Enrollment ID: I20220514000146 |
| Provider Name | Sheryl Kay Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093208639 PECOS PAC ID: 7911346994 Enrollment ID: I20240424000577 |
| Provider Name | Beverly Jean Bonnell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851884167 PECOS PAC ID: 6608308903 Enrollment ID: I20241011000207 |
| Provider Name | Crystal Castillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417751884 PECOS PAC ID: 8022537448 Enrollment ID: I20250528002972 |
Yuca Vida Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 S 8th St, Deming, NM 88030 Phone: 575-332-1312 | |
La Fronter Center, Inc. Dba La Frontera New Mexico, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 W Hickory St, Deming, NM 88030 Phone: 575-546-2174 | |
Southwest Therapeutics Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1419 S Santa Barbara St, Deming, NM 88030 Phone: 575-936-4350 | |
Winborn Wellness & Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 W Hemlock St, Deming, NM 88030 Phone: 575-694-5478 | |
Lost Arts Therapeutics Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 S Gold Ave, Deming, NM 88030 Phone: 503-679-5067 |