Organization
MAYEDEL A SAN JOSE PC
Active
Other names
San Jose Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAYEDEL SAN JOSE DNP, APRN, FNP-C (OWNER)
(575) 332-4633
Entity
Organization
Contact information
Practice address
1245 COUNTRY CLUB RD STE 200, SANTA TERESA, NM 88008-9743
(575) 332-4633
(877) 209-8941
Mailing address
1245 COUNTRY CLUB RD STE 200, SANTA TERESA, NM 88008-9743
(575) 332-4633
(877) 209-8941
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/16/2023
Last updated
09/25/2025
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