Wesley Luis Vargas-Araya, MD

Individual provider Active NPI Family Medicine Physician · Mescalero, NM

NPI 1013967900 · NPPES record last updated Jan 16, 2008

Key facts

NPI
1013967900
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
31501 (IA)
Practice address
318 Abalone Loop
Mescalero, NM 88340
Phone
(505) 464-4441
Fax
(505) 464-4422
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31501IAMDFamily Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 31501 IA Yes

Addresses

Primary practice location

318 Abalone Loop
Mescalero, NM 88340

Mailing address

PO Box 210
Mescalero, NM 88340-0210
Phone (505) 464-4441

Other identifiers

IdentifierTypeStateIssuer
H2347MedicaidNM

Other providers in Mescalero, NM

All providers in Mescalero, NM · Family Medicine Physician in New Mexico

Sources for this page

Verify at the official NPI Registry.