Organization
BELLA VIDA HEALTH SERVICES LLC
Active
Other names
Bella Vida Health Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANA MARIE PORTILLO DNP (OWNER/PROVIDER)
(575) 288-1336
Entity
Organization
Contact information
Practice address
705 N ALAMEDA BLVD, LAS CRUCES, NM 88005-2128
(575) 288-1336
(575) 222-4453
Mailing address
PO BOX 1731, LAS CRUCES, NM 88004-1731
(575) 288-1336
(575) 222-4453
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/18/2020
Last updated
02/24/2025
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