Organization
LOS AMIGOS, LLC
Active
Organization
LOS AMIGOS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SERGIO GARCIA (PRESIDENT)
(505) 204-6035
Entity
Organization
Contact information
Practice address
6533 VALENTINE WAY, SANTA FE, NM 87507-3162
(505) 204-6035
Mailing address
6533 VALENTINE WAY, SANTA FE, NM 87507-3162
(505) 204-6035
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
1200113342
NM
Other
Enumeration date
05/11/2012
Last updated
05/11/2012
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