National Provider Identifier Database

CLINICA DEL VALLE LLC
Family


Contact Information

CLINICA DEL VALLE LLC
1720 BRIDGE BLVD SW
STE F
ALBUQUERQUE, NM87105-3100
Phone: 505-508-5398
Fax: 505-508-5374
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for CLINICA DEL VALLE LLC

NPI Number 1528352457
Legal business name
LBN
CLINICA DEL VALLE LLC
Authorized official MICHELLE TRUJILLO - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 06/08/2011
Last updated 06/08/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • NM License #: CNP01205

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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