| Casa De Salud | |
|
1608 Isleta Blvd Sw Albuquerque NM 87105-4634 | |
| (505) 907-8311 | |
| (505) 288-3561 |
| Full Name | Casa De Salud |
|---|---|
| Speciality | Clinic/Center |
| Location | 1608 Isleta Blvd Sw, Albuquerque, New Mexico |
| Authorized Official Name and Position | Elizabeth Boyce (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 5054172362 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Casa De Salud 1608 Isleta Blvd Sw Albuquerque NM 87105-4634 Ph: (505) 907-8311 | Casa De Salud 1608 Isleta Blvd Sw Albuquerque NM 87105-4634 Ph: (505) 907-8311 |
| NPI Number | 1376823625 |
|---|---|
| Provider Enumeration Date | 08/18/2011 |
| Last Update Date | 04/23/2020 |
| Medicare PECOS PAC ID | 1456614379 |
|---|---|
| Medicare Enrollment ID | O20180406000098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376823625 | NPI | - | NPPES |
| 96001224 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | NONE (New Mexico) | Primary |
| Provider Name | Laura R Stern |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336157460 PECOS PAC ID: 1456253590 Enrollment ID: I20040121000305 |
| Provider Name | Amy L Garcia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134224959 PECOS PAC ID: 9537122577 Enrollment ID: I20041110000406 |
| Provider Name | Nora Rose Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295725331 PECOS PAC ID: 2668493438 Enrollment ID: I20051227000286 |
| Provider Name | Anita Lee Sloan-garcia |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1831262781 PECOS PAC ID: 0446347983 Enrollment ID: I20071031000528 |
| Provider Name | Cecilia L Cordova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841432564 PECOS PAC ID: 9335388206 Enrollment ID: I20130626000021 |
| Provider Name | Anjali Taneja |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1730371410 PECOS PAC ID: 2769529163 Enrollment ID: I20180426000314 |
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