El Centro Family Health
Organization Active NPI Family Nurse Practitioner · Espanola, NM
NPI 1013202969 · NPPES record last updated Jun 17, 2011
Key facts
- NPI
- 1013202969
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- CNP-01740 (NM)
- Legal business name
- EL CENTRO FAMILY HEALTH
- Practice address
- 620 N. Coronado Street
Espanola, NM 87532-0158 - Phone
- (505) 753-7218
- Fax
- (505) 753-5815
- NPI assigned
- Jun 17, 2011
- Organization subpart
- No
Authorized official
- Name
- Mrs. Lucille Montoya
- Title
- Chief Operations Officer
- Phone
- (505) 753-7218
Corporate family (same tax ID) 9
Practitioners 1
-
Jessica Benavidez, LMSW
National Provider Directory
- Tax ID family
- Health Centers of North
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | CNP-01740 | NM | Yes |
Addresses
Primary practice location
620 N. Coronado Street
Espanola, NM 87532-0158
Mailing address
620 N. Coronado Street
Espanola, NM 87532-0158
Phone (505) 753-7218
Other providers in Espanola, NM
- Rita Maria Duran
- Robert James Duran
- James Harold Dyer Jr.
- Kathryn Dziekan
- Trisha Ebbert
- El Centro Family Health
- El Centro Family Health
- El Centro Family Health
- El Centro Family Health
- El Centro Family Health
All providers in Espanola, NM · Family Nurse Practitioner in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.