Rudy Fidencio Grano, PSYD - Psychologist in Las Vegas, NM

Rudy Fidencio Grano, PSYD is a Psychologist - Clinical based in Las Vegas, New Mexico. Rudy Fidencio Grano is licensed to practice in New Mexico (license number 0811) and his current practice location is 213 Plaza St, N/a, Las Vegas, New Mexico. He can be reached at his office (for appointments etc.) via phone at (505) 617-6313.

NPI number for Rudy Fidencio Grano is 1356452981 and his current mailing address is 213 Plaza St, P.o. Box 1856, Las Vegas, New Mexico. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356452981.

Contact Information

Rudy Fidencio Grano, PSYD
213 Plaza St, N/a,
Las Vegas, NM 87701-3432
(505) 617-6313
(505) 617-6313

Map and Direction




Healthcare Provider's Profile

Full NameRudy Fidencio Grano
GenderMale
SpecialityPsychologist - Clinical
Location213 Plaza St, Las Vegas, New Mexico
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1356452981
  • Provider Enumeration Date: 08/31/2006
  • Last Update Date: 04/05/2013

Medical Identifiers

Medical identifiers for Rudy Fidencio Grano such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356452981NPI-NPPES
17480221MedicaidNM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 0811 (New Mexico)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Rudy Fidencio Grano is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Rudy Fidencio Grano, PSYD
213 Plaza St, P.o. Box 1856,
Las Vegas, NM 87701-3432

Ph: (505) 617-6313
Rudy Fidencio Grano, PSYD
213 Plaza St, N/a,
Las Vegas, NM 87701-3432

Ph: (505) 617-6313

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