| La Clinica Del Pueblo De Rio Arriba | |
|
Us Hwy 84, County Road 0324, #14, Tierra Amarilla, NM 87575-0250 | |
| (575) 588-7252 | |
| (575) 588-9132 |
| Full Name | La Clinica Del Pueblo De Rio Arriba |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | Us Hwy 84, County Road 0324, #14, Tierra Amarilla, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598797805 | NPI | - | NPPES |
| 000050740 | Medicaid | NM | |
| 1891562674 | Other | NM | PHYSICAL THERAPIST |
| 1215129291 | Other | NM | AMBULANCE |
| 00050740 | Medicaid | NM | |
| 1467742015 | Other | NM | LUIGI A. DULANTO, M.D. |
| 1366581373 | Other | NM | JODI K. CASADOS |
| 1730472085 | Other | NM | LEVI I. MAES, M.D. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Wael F Garas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033181375 PECOS PAC ID: 0547236291 Enrollment ID: I20051219000832 |
| Provider Name | Tamara A Singleton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881779304 PECOS PAC ID: 6305926288 Enrollment ID: I20080104000215 |
| Provider Name | Jodi K Casados |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366581373 PECOS PAC ID: 6901989342 Enrollment ID: I20080208000249 |
| Provider Name | Maxsimo C Torres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932190675 PECOS PAC ID: 5698890291 Enrollment ID: I20100920001022 |
| Provider Name | Levi I Maes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730472085 PECOS PAC ID: 6406090174 Enrollment ID: I20150916000351 |
| Provider Name | Tara Terrazas |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1891562674 PECOS PAC ID: 6002268273 Enrollment ID: I20250414002611 |
| Provider Name | Caitlin Mercure |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376168583 PECOS PAC ID: 0648797357 Enrollment ID: I20250506003408 |
| Mailing Address | Practice Location Address |
|---|---|
| La Clinica Del Pueblo De Rio Arriba Po Box 250, Us Hwy 84, County Road 0324, #14, Tierra Amarilla, NM 87575-0250 Ph: (575) 588-7252 | La Clinica Del Pueblo De Rio Arriba Us Hwy 84, County Road 0324, #14, Tierra Amarilla, NM 87575-0250 Ph: (575) 588-7252 |