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Organization
VIVA HEALTH
Active
Organization
VIVA HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFREDO JOSE GARCIA (CEO)
(575) 642-6940
Entity
Organization
Contact information
Practice address
1580 APPALOOSA DR STE C310, SUNLAND PARK, NM 88063-8904
(575) 642-6940
Mailing address
1580 APPALOOSA DR STE C310, SUNLAND PARK, NM 88063-8904
(575) 642-6940
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194264952
—
NM
Enumeration date
12/28/2020
Last updated
05/07/2024
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