Individual
BELEN MADRID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASE MANAGER
Contact information
Practice address
100 W GRIGGS AVE, LAS CRUCES, NM 88001
(575) 647-2800
(575) 647-2898
Mailing address
385 CALLE DE ALEGRA, BLDG. A, LAS CRUCES, NM 88005-3423
(575) 526-1105
(575) 524-4266
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03007758
—
NM
Enumeration date
09/02/2009
Last updated
08/27/2018
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