Organization
BUENA SALUD FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK VILLANUEVA GALLEGOS M.D. (PHYSICIAN/OWNER)
(505) 429-0137
Entity
Organization
Contact information
Practice address
1900 HOT SPRINGS BLVD, SUITE D, LAS VEGAS, NM 87701-3481
(505) 429-0137
Mailing address
1900 HOT SPRINGS BLVD, SUITE D, LAS VEGAS, NM 87701-3481
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
90-42
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619960069
PROVIDER NPI
NM
05
—
25551
—
NM
Enumeration date
03/31/2010
Last updated
03/31/2010
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