Buena Salud Family Medicine, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

90-42 Issued in NM

Legal business name

BUENA SALUD FAMILY MEDICINE, LLC

Practice address

1900 Hot Springs Blvd
Suite D
Las Vegas, NM 87701-3481

Phone

(505) 429-0137

NPI assigned

Mar 31, 2010

Last updated

Mar 31, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Frank Villanueva Gallegos, M.D.

Title

Physician/Owner

Phone

(505) 429-0137

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269993600000",
    "number": "1336464429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 HOT SPRINGS BLVD",
            "address_2": "SUITE D",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877013481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 HOT SPRINGS BLVD",
            "address_2": "SUITE D",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877013481",
            "telephone_number": "505-429-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUENA SALUD FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-31",
        "last_updated": "2010-03-31",
        "status": "A",
        "authorized_official_last_name": "GALLEGOS",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "VILLANUEVA",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "505-429-0137",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NM",
            "license": "90-42",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI",
            "identifier": "1619960069",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25551",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Louise Brannin, CNM
• Jasmin U Breitung, M.D
• Brookhaven Nursing Home
• Marian Katherine Brotherton, MSN, APRN, FNP-BC
• Alice Mae Brown, CNP
• Buena Vida Physical Therapy and Wellness LLC
• Angel Burch
• Stella Jeanne Burciaga, PT
• Cheryl A Burlett, M.S. PHARM
• Joanne Burness, PHD

• Clinic/Center in Las Vegas, NM
• Providers in Las Vegas, NM by specialty
• Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.