Organization
RUBEN A. SUPAN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUBEN SUPAN NP (NURSE PRACTITIONER)
(505) 409-0831
Entity
Organization
Contact information
Practice address
405 W COUNTRY CLUB RD, ROSWELL, NM 88201-5209
(575) 363-3134
(575) 208-0780
Mailing address
PO BOX 8244, ROSWELL, NM 88202-8244
(575) 208-0224
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23386363
—
NM
Enumeration date
05/29/2018
Last updated
07/06/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us