| Twilight Care Inc | |
|
11516 Pine Top Ln Ne Albuquerque NM 87111-6585 | |
| (505) 389-5053 | |
| Not Available |
| Full Name | Twilight Care Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11516 Pine Top Ln Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Leandro X Centenera (OWNER) |
| Authorized Official Contact | 5053895053 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Twilight Care Inc 11516 Pine Top Ln Ne Albuquerque NM 87111-6585 Ph: (505) 389-5053 | Twilight Care Inc 11516 Pine Top Ln Ne Albuquerque NM 87111-6585 Ph: (505) 389-5053 |
| NPI Number | 1548879240 |
|---|---|
| Provider Enumeration Date | 07/28/2020 |
| Last Update Date | 07/28/2020 |
| Medicare PECOS PAC ID | 8022428630 |
|---|---|
| Medicare Enrollment ID | O20201111001009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548879240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Leandro Xavier Centenera |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1194760678 PECOS PAC ID: 3375519440 Enrollment ID: I20040909000571 |
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