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Organization

LAS CLINICAS DEL NORTE INCORPORATED

Active
Other names
Las Clinicas del Norte Abiquiu Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
ANDY R LOPEZ (CEO)
(575) 581-4728
Entity
Organization

Contact information

Practice address
21192 HIGHWAY 84, ABIQUIU, NM 87510
(505) 685-4479
(505) 685-4532
Mailing address
PO BOX 237, EL RITO, NM 87530-0237
(575) 581-4728
(575) 581-4731

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3209613
NCPDP PROVIDER IDENTIFICATION NUMBER
05
62988
NM
Enumeration date
04/26/2007
Last updated
06/07/2010
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