BALDERAS LLC.; NPI #1952291551

Contact Information

BALDERAS LLC.

902 LOWELL DR
ROCKY FORD, CO 81067-2104

Phone: 719-652-2962
Fax: 719-652-2962
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Family	363LF0000X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for BALDERAS LLC.

NPI #	`1952291551`
LBN Legal business name	BALDERAS LLC.
Authorized official	DORAELIA BALDERAS - (PROVIDER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	07/07/2025
Last updated	11/15/2025 - About 7 months ago
Identifiers	n/a

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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