institution
La Clinica Del Pueblo De Rio Arriba
Federally Qualified Health Center (FQHC) in Tierra Amarilla, New Mexico
NPI 1598797805

La Clinica Del Pueblo De Rio Arriba is a Federally Qualified Health Center (FQHC) based in Tierra Amarilla, NM and is specialized in Federally Qualified Health Center (FQHC). La Clinica Del Pueblo De Rio Arriba practices in Tierra Amarilla, NM. The NPI Number for La Clinica Del Pueblo De Rio Arriba is 1598797805 and holds a License No. (New Mexico).

The current practice location address for La Clinica Del Pueblo De Rio Arriba is Us Hwy 84, County Road 0324, #14, Tierra Amarilla, NM and can be reached out via phone at 575-588-7252 and via fax at 575-588-9132.

Location: Us Hwy 84, County Road 0324, #14, Tierra Amarilla, NM, 87575-0250
institution
Provider Profile Details
NPI Number
1598797805
Provider Name
La Clinica Del Pueblo De Rio Arriba
Credential
Provider Entity Type
Organization
Address
Us Hwy 84, County Road 0324, #14, Tierra Amarilla, NM, 87575-0250
Phone Number
575-588-7252
Fax Number
575-588-9132
Provider Enumeration Date
07/07/2006
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000050740 05 NM
1891562674 01 NM PHYSICAL THERAPIST
1215129291 01 NM AMBULANCE
00050740 05 NM
1467742015 01 NM LUIGI A. DULANTO, M.D.
1366581373 01 NM JODI K. CASADOS
1730472085 01 NM LEVI I. MAES, M.D.
institution
Provider Business Practice Location Address Details
Address
Us Hwy 84, County Road 0324, #14
City
State
Zip
87575-0250
Phone Number
575-588-7252
Fax Number
575-588-9132
person
Provider Business Mailing Address Details
Address
Us Hwy 84, County Road 0324, #14
City
State
Zip
87575-0250
Phone Number
575-588-7252
Fax Number
575-588-9132
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
License No.
()
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
()
Definition
Definition to come...
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