| Destino Bella, Llc. | |
|
2457 S Telshor Blvd Las Cruces NM 88011-5049 | |
| (575) 777-4681 | |
| (575) 800-0344 |
| Full Name | Destino Bella, Llc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2457 S Telshor Blvd, Las Cruces, New Mexico |
| Authorized Official Name and Position | Lorraine Gloria Sanchez (OWNER) |
| Authorized Official Contact | 5757774681 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Destino Bella, Llc. 2457 S Telshor Blvd Las Cruces NM 88011-5049 Ph: (575) 777-4681 | Destino Bella, Llc. 2457 S Telshor Blvd Las Cruces NM 88011-5049 Ph: (575) 777-4681 |
| NPI Number | 1417578816 |
|---|---|
| Provider Enumeration Date | 04/27/2020 |
| Last Update Date | 05/09/2026 |
| Medicare PECOS PAC ID | 9436577970 |
|---|---|
| Medicare Enrollment ID | O20200915001381 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417578816 | NPI | - | NPPES |
| 28909585 | Medicaid | NM | |
| 413154YRND | Other | NM | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Lorraine G Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487048609 PECOS PAC ID: 6507187374 Enrollment ID: I20150604001924 |
Southwest Center On Aging Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1106 Centre Ct, Las Cruces, NM 88011 Phone: 575-532-5455 Fax: 575-532-5641 | |
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Smart Care, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2801 Missouri Ave Ste 12, Las Cruces, NM 88011 Phone: 575-522-6900 Fax: 575-522-8891 | |
App Of New Mexico Hm Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4311 E Lohman Ave, Las Cruces, NM 88011 Phone: 575-556-7600 Fax: 629-216-0568 |