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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 Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CLINICA DEL VALLE LLC

NPI Number 1528352457
LBN Legal business name CLINICA DEL VALLE LLC
Authorized official MICHELLE TRUJILLO - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/08/2011
Last updated 06/08/2011 - About 15 years ago
Identifiers
NM License # CNP01205
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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