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Organization
BELLA VIDA HEALTH SERVICES LLC
Active
Organization
BELLA VIDA HEALTH SERVICES LLC
Active
Other names
Bella Vida Health Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANA MARIE PORTILLO DNP (OWNER/PROVIDER)
(575) 288-1336
Entity
Organization
Contact information
Practice address
705 N ALAMEDA BLVD, LAS CRUCES, NM 88005-2128
(575) 288-1336
(575) 222-4453
Mailing address
PO BOX 1731, LAS CRUCES, NM 88004-1731
(575) 288-1336
(575) 222-4453
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/18/2020
Last updated
02/24/2025
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