Active NPI
Valencia Valley Healthcare Inc
- Nurse Practitioner
- Albuquerque, NM
National Provider Identifier
1760735591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R37352
- Legal business name
- VALENCIA VALLEY HEALTHCARE INC
- Practice address
- 111 Isleta Blvd SW
Albuquerque, NM 87105-3896 - Phone
- (505) 200-2647
- NPI assigned
- Oct 17, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jose Rolando Flores
- Title
- Partner/CFNP
- Phone
- (505) 200-2647
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R37352 | NM | Primary |
Addresses
Primary practice location
111 Isleta Blvd SW
Albuquerque, NM 87105-3896
Mailing address
PO Box 3439
Los Lunas, NM 87031-3439
Phone (505) 200-2647
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Los Lunas, NM
- NPI 1689871311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1386633600000",
"number": "1760735591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3439",
"city": "LOS LUNAS",
"state": "NM",
"postal_code": "870313439",
"telephone_number": "505-200-2647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 ISLETA BLVD SW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871053896",
"telephone_number": "505-200-2647"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALENCIA VALLEY HEALTHCARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-17",
"last_updated": "2013-12-10",
"status": "A",
"authorized_official_last_name": "FLORES",
"authorized_official_first_name": "JOSE ROLANDO",
"authorized_official_title_or_position": "PARTNER/CFNP",
"authorized_official_telephone_number": "505-200-2647"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "NM",
"license": "R37352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.