| Clinica La Esperanza | |
|
4201 Central Ave Nw K3 Albuquerque NM 87105-1630 | |
| (505) 717-1685 | |
| Not Available |
| Full Name | Clinica La Esperanza |
|---|---|
| Speciality | Clinic/Center |
| Location | 4201 Central Ave Nw, Albuquerque, New Mexico |
| Authorized Official Name and Position | Olena Dziuba (CFO) |
| Authorized Official Contact | 5055732495 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica La Esperanza 4201 Central Ave Nw Ste K3 Albuquerque NM 87105-1630 Ph: (505) 508-1739 | Clinica La Esperanza 4201 Central Ave Nw K3 Albuquerque NM 87105-1630 Ph: (505) 717-1685 |
| NPI Number | 1568768042 |
|---|---|
| Provider Enumeration Date | 02/01/2011 |
| Last Update Date | 01/19/2015 |
| Medicare PECOS PAC ID | 6709049745 |
|---|---|
| Medicare Enrollment ID | O20120531000416 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568768042 | NPI | - | NPPES |
| 5126223 | Medicaid | NM |
| Provider Name | Rodica C Brown |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912003583 PECOS PAC ID: 7315997293 Enrollment ID: I20050211000182 |
| Provider Name | Susette L Eaves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780690354 PECOS PAC ID: 8729157102 Enrollment ID: I20080527000747 |
| Provider Name | Carol Bellistri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215942768 PECOS PAC ID: 9133257959 Enrollment ID: I20100514000221 |
| Provider Name | William Wallace Anderson |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1194800334 PECOS PAC ID: 4789871476 Enrollment ID: I20101207000863 |
| Provider Name | Lisa Stolarczyk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497930176 PECOS PAC ID: 4880874866 Enrollment ID: I20110208000740 |
| Provider Name | Virginia Valentine |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1740338086 PECOS PAC ID: 2062451404 Enrollment ID: I20110609000520 |
| Provider Name | Mohammad I Al Raie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629345848 PECOS PAC ID: 1456526672 Enrollment ID: I20111215000699 |
| Provider Name | Dolores J Cordova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295080471 PECOS PAC ID: 4880841162 Enrollment ID: I20120821000556 |
| Provider Name | Candace Percifull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689941817 PECOS PAC ID: 1759557127 Enrollment ID: I20130211000180 |
| Provider Name | Anna Marie Siow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194170605 PECOS PAC ID: 8426328600 Enrollment ID: I20170720001612 |
| Provider Name | Jennifer M Lujan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053830372 PECOS PAC ID: 1355605106 Enrollment ID: I20180503001454 |
| Provider Name | Jennifer Lynne Pantoja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841782877 PECOS PAC ID: 5597011163 Enrollment ID: I20180712000493 |
| Provider Name | Carmen Marcolina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730720632 PECOS PAC ID: 9739513417 Enrollment ID: I20200106002121 |
| Provider Name | Eun Bellisario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962015958 PECOS PAC ID: 3577965185 Enrollment ID: I20210706000616 |
| Provider Name | Melanie Leigh Duran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811569841 PECOS PAC ID: 9830587492 Enrollment ID: I20211101001560 |
| Provider Name | Amanda Renee Crouch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477285567 PECOS PAC ID: 0446626006 Enrollment ID: I20221022000020 |
| Provider Name | Ryan Maite Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477271211 PECOS PAC ID: 8123497633 Enrollment ID: I20221205003195 |
| Provider Name | Gwendolyn Charlee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356049449 PECOS PAC ID: 6002277670 Enrollment ID: I20230728002057 |
| Provider Name | Erin Mintle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245858455 PECOS PAC ID: 5395158018 Enrollment ID: I20241104003933 |
Double Happiness LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4104 Ponderosa Ave Ne, Albuquerque, NM 87110 Phone: 505-385-4127 Fax: 505-265-5041 |
Robert F. Kennedy School Based Heath Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4300 Blake Sw, Albuquerque, NM 87121 Phone: 505-243-1118 Fax: 505-242-7444 |
Ortega Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7007 Jefferson St Ne Ste C, Albuquerque, NM 87109 Phone: 505-340-0406 Fax: 505-340-0405 |
Albuquerque Internal Medicine LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4121 Montgomery Blvd Ne, Albuquerque, NM 87109 Phone: 505-314-0748 |
Gabriella Good MD LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3015 Indian Farm Ln Nw, Albuquerque, NM 87107 Phone: 505-259-8694 Fax: 186-660-7177 |
Hands on Health Care, P.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3825 Eubank Blvd Ne Ste C, Albuquerque, NM 87111 Phone: 505-298-8020 |