Beatriz G Pain
Individual provider Active NPI Attendant Care Provider · Quemado, NM
NPI 1114689189 · NPPES record last updated Oct 7, 2021
Key facts
- NPI
- 1114689189
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Attendant Care Provider 3747A0650X
- Practice address
- 22 Hopi Dr
Quemado, NM 87829-9131 - Phone
- (520) 820-3545
- NPI assigned
- Oct 7, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | Yes |
Addresses
Primary practice location
22 Hopi Dr
Quemado, NM 87829-9131
Mailing address
HC 32 Box 706
Quemado, NM 87829-9613
Phone (520) 820-3574
Other providers in Quemado, NM
All providers in Quemado, NM · Attendant Care Provider 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 Oct 7, 2021. 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.