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Contact Information

BUENA VIDA PHYSICAL THERAPY AND WELLNESS LLC
601 E LINCOLN ST
LAS VEGAS, NM87701-4502
 Phone: 505-425-2998
 Fax: 505-425-2897
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy

261QP2000X
Indicates primary specialty

NPI Profile & details for BUENA VIDA PHYSICAL THERAPY AND WELLNESS LLC

NPI # 1982863999
LBN Legal business name BUENA VIDA PHYSICAL THERAPY AND WELLNESS LLC
Authorized official STELLA BURCIAGA - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/04/2008
Last updated 04/07/2020 - About 6 years ago
Identifiers
NM License # 3283
NM Medicaid 36072842
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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