Individual
MR. RALPH PADILA VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 S. MAIN ST., LAS CRUCES, NM 88005
(575) 527-9030
(575) 647-2898
Mailing address
385 CALLE DE ALEGRA, STE A, LAS CRUCES, NM 88005
(575) 526-1105
(575) 524-4266
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
72545
—
NM
Enumeration date
01/05/2016
Last updated
01/05/2016
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