Individual
VILLA AULEEN DEL CARMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
801 W MAPLE ST, FARMINGTON, NM 87401-5630
(505) 609-6463
Mailing address
PO BOX 6210, FARMINGTON, NM 87499-6210
(505) 609-2258
(505) 609-2259
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0116015347
VA
207R00000X
Internal Medicine Physician
Primary
MD2006-0490
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15064401
FARMINGTON AHCCCS
NM
01
—
22103007
HOBBS AHCCCS
NM
05
—
22103007
—
NM
01
—
P00382871
RAILROAD MEDICARE
NM
Enumeration date
08/08/2006
Last updated
07/25/2008
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