Victoria Baros

Individual provider Active NPI School Registered Nurse · Espanola, NM

NPI 1366955379 · NPPES record last updated Nov 13, 2017

Key facts

NPI
1366955379
Entity type
Individual (NPI type 1)
Primary specialty
School Registered Nurse 163WS0200X
License
R44609 (NM)
Practice address
1260 Industrial Park Rd
Espanola, NM 87532-3503
Phone
(505) 753-1348
NPI assigned
Nov 13, 2017
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
R44609NMMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
El Centro Family Health Past Accepting new patients
El Centro Family Health Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X R44609 NM Yes

Addresses

Primary practice location

1260 Industrial Park Rd
Espanola, NM 87532-3503

Mailing address

PO Box 3943
Fairview, NM 87533-3943

Other providers in Espanola, NM

All providers in Espanola, NM · School Registered Nurse in New Mexico

Sources for this page

Verify at the official NPI Registry.