| One Family Practice, LLC | |
|
3900 Juan Tabo Blvd Ne Albuquerque NM 87111-3984 | |
| (505) 280-6707 | |
| (505) 298-3939 |
| Full Name | One Family Practice, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 3900 Juan Tabo Blvd Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Mireya Becerra (CFNP/OWNER) |
| Authorized Official Contact | 5052806707 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| One Family Practice, LLC 5901j Wyoming Blvd Ne # 157 Albuquerque NM 87109-3866 Ph: (505) 280-6707 | One Family Practice, LLC 3900 Juan Tabo Blvd Ne Albuquerque NM 87111-3984 Ph: (505) 280-6707 |
| NPI Number | 1134742240 |
|---|---|
| Provider Enumeration Date | 05/22/2020 |
| Last Update Date | 05/22/2020 |
| Certification Date | 05/22/2020 |
| Medicare PECOS PAC ID | 7214355650 |
|---|---|
| Medicare Enrollment ID | O20200916001640 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134742240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Mireya Becerra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871927863 PECOS PAC ID: 5698990562 Enrollment ID: I20140709000860 |
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