institution
Anita M. Roybal Family And Preventive Health, Llc
Primary Care Clinic/Center in Rio Rancho, New Mexico
NPI 1558665893

Anita M. Roybal Family And Preventive Health, Llc is a Primary Care Clinic/Center based in Rio Rancho, NM and is specialized in Primary Care. Anita M. Roybal Family And Preventive Health, Llc practices in Rio Rancho, NM. The NPI Number for Anita M. Roybal Family And Preventive Health, Llc is 1558665893 and holds a License No. 84110 (New Mexico).

The current practice location address for Anita M. Roybal Family And Preventive Health, Llc is 1316 Jackie Rd Se Ste 400, Rio Rancho, NM and can be reached out via phone at 505-234-1612 and via fax at 505-234-1618. You can also correspond with Anita M. Roybal Family And Preventive Health, Llc through the mailing address at 1316 JACKIE RD SE STE 400, RIO RANCHO, NM - 87124-1045 (mailing address contact number: 505-234-1612).

Location: 1316 Jackie Rd Se Ste 400, Rio Rancho, NM, 87124-1045
institution
Provider Profile Details
NPI Number
1558665893
Provider Name
Anita M. Roybal Family And Preventive Health, Llc
Credential
Provider Entity Type
Organization
Address
1316 Jackie Rd Se Ste 400, Rio Rancho, NM, 87124-1045
Phone Number
505-234-1612
Fax Number
505-234-1618
Provider Enumeration Date
12/30/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NMB2482 01 GROUP PTAN NUMBER
Q6735 05 NM
NMB2482 01 NM GROUP PTAN NUMBER
institution
Provider Business Practice Location Address Details
Address
1316 Jackie Rd Se Ste 400
City
State
Zip
87124-1045
Phone Number
505-234-1612
Fax Number
505-234-1618
person
Provider Business Mailing Address Details
Address
1316 Jackie Rd Se Ste 400
City
State
Zip
87124-1045
Phone Number
505-234-1612
Fax Number
505-234-1618
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
84110 (New Mexico)
Definition
Definition to come...
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