Organization Active NPI

Valencia Valley Healthcare Inc

  • Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1760735591
Registry record updated Dec 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R37352 Issued in NM
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

Updated by the provider on Dec 10, 2013

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)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.