| Skin 2 Within LLC | |
|
2060 Main St Ne Ste D Los Lunas NM 87031-6368 | |
| (505) 910-3131 | |
| (505) 581-3314 |
| Full Name | Skin 2 Within LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 2060 Main St Ne Ste D, Los Lunas, New Mexico |
| Authorized Official Name and Position | Gerald Stephen Cotto (FNP-C) |
| Authorized Official Contact | 5059103131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Skin 2 Within LLC 2060 Main St Ne Ste D Los Lunas NM 87031-6368 Ph: (505) 910-3131 | Skin 2 Within LLC 2060 Main St Ne Ste D Los Lunas NM 87031-6368 Ph: (505) 910-3131 |
| NPI Number | 1952282071 |
|---|---|
| Provider Enumeration Date | 09/08/2025 |
| Last Update Date | 09/08/2025 |
| Certification Date | 09/08/2025 |
| Medicare PECOS PAC ID | 0648762070 |
|---|---|
| Medicare Enrollment ID | O20251124001901 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952282071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Gerald Stephen Cotto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104541036 PECOS PAC ID: 4082084181 Enrollment ID: I20230106000760 |
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