Active NPI
Valerieg Gallegos
- Intermediate Emergency Medical Technician
- San Fidel, NM
National Provider Identifier
1386821023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intermediate Emergency Medical Technician
- License
- 01000062
- Practice address
- Exit 102 Off I - 40 1/2 Mi South
San Fidel, NM 87049-0130 - Phone
- (505) 552-5385
- Fax
- (505) 552-5473
- NPI assigned
- Jan 24, 2008
- Last updated
- Jan 24, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intermediate Emergency Medical Technician | 146M00000X | 01000062 | NM | Primary |
Addresses
Primary practice location
Exit 102 Off I - 40 1/2 Mi South
San Fidel, NM 87049-0130
Mailing address
Exit 102 Off I - 40 1/2 Mi South
PO Box 130
San Fidel, NM 87049-0130
Phone (505) 552-5385
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01000062 | NM | MD | Intermediate Emergency Medical Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201132800000",
"number": "1386821023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "EXIT 102 OFF I - 40 1/2 MI SOUTH",
"address_2": "PO BOX 130",
"city": "SAN FIDEL",
"state": "NM",
"postal_code": "870490130",
"telephone_number": "505-552-5385",
"fax_number": "505-552-5473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EXIT 102 OFF I - 40 1/2 MI SOUTH",
"city": "SAN FIDEL",
"state": "NM",
"postal_code": "870490130",
"telephone_number": "505-552-5385",
"fax_number": "505-552-5473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLEGOS",
"first_name": "VALERIEG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-24",
"last_updated": "2008-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "146M00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Intermediate",
"state": "NM",
"license": "01000062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Fidel, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.