| Doraelia Quiroz Balderas, FNP-BC | |
|
701 Poplar Ave, Las Animas, CO 81054-1654 | |
| (830) 719-8219 | |
| Not Available |
| Full Name | Doraelia Quiroz Balderas |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 701 Poplar Ave, Las Animas, Colorado |
| 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 |
|---|---|---|---|
| 1184445405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 0185371 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1000688 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Arkansas Valley Regional Medical Center | La junta, CO | Hospital |
| Prowers Medical Center | Lamar, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lykos Medical Llc | 0941558035 | 16 |
| Entity Name | Lykos Medical Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215423124 PECOS PAC ID: 0941558035 Enrollment ID: O20180806003125 |
| Mailing Address | Practice Location Address |
|---|---|
| Doraelia Quiroz Balderas, FNP-BC 701 Poplar Ave, Las Animas, CO 81054-1654 Ph: (830) 719-8219 | Doraelia Quiroz Balderas, FNP-BC 701 Poplar Ave, Las Animas, CO 81054-1654 Ph: (830) 719-8219 |
Steven Gallegos, ACNP/FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 245 Vine Ave, Las Animas, CO 81054 Phone: 719-456-2653 Fax: 719-456-0105 | |
Ms. Karen L Donkle, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 215 Maple Ave, Las Animas, CO 81054 Phone: 719-456-6000 Fax: 719-456-9701 |