Crystal Encinias

Individual provider Active NPI Case Manager/Care Coordinator · Raton, NM

NPI 1639550080 · NPPES record last updated Jun 11, 2015

Key facts

NPI
1639550080
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
101 Letton Dr
Raton, NM 87740-4366
Phone
(575) 445-8568
NPI assigned
Jun 11, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valle del Sol of New Mexico, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

101 Letton Dr
Raton, NM 87740-4366

Mailing address

282 S Camino del Pueblo
Ste 2-C
Bernalillo, NM 87004-5909

Other providers in Raton, NM

All providers in Raton, NM · Case Manager/Care Coordinator in New Mexico

Sources for this page

Verify at the official NPI Registry.