Organization
CARLACARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD B. CARRILLO (DIRECTOR)
(505) 524-3735
Entity
Organization
Contact information
Practice address
945 ROSALIE AVE, LAS CRUCES, NM 88005-0938
(505) 524-3967
Mailing address
1988 CRESCENT DR, LAS CRUCES, NM 88005-3323
(505) 524-3735
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D3656
NM
Other
Enumeration date
02/09/2007
Last updated
08/22/2020
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