Organization
MAS COMUNIDAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUELANJEL D ORTIZ (EXECUTIVE DIRECTOR)
(575) 587-1792
Entity
Organization
Contact information
Practice address
14156 STATE ROAD 75, PENASCO, NM 87553
(575) 587-1792
(575) 587-1055
Mailing address
PO BOX 237, PENASCO, NM 87553-0237
(575) 587-1792
(575) 587-1055
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
03/07/2025
Last updated
03/07/2025
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