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Organization

INETMED RX2 INC.

Active
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Organization

INETMED RX2 INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PATTIJO N VELASQUEZ PHD, MSCP (COO)
(575) 636-2506
Entity
Organization

Contact information

Practice address
1505 S DON ROSER DR, SUITE A, LAS CRUCES, NM 88011-4596
(575) 636-2506
(575) 288-2691
Mailing address
1505 S DON ROSER DR, SUITE A, LAS CRUCES, NM 88011-4596
(575) 636-2506
(575) 288-2691

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1278
NM
103G00000X
Clinical Neuropsychologist
1278
NM
103T00000X
Psychologist
1278
NM
103TB0200X
Cognitive & Behavioral Psychologist
1278
NM
103TC0700X
Clinical Psychologist
1278
NM
103TC2200X
Clinical Child & Adolescent Psychologist
1278
NM
103TH0004X
Health Psychologist
1278
NM
103TP0016X
Prescribing (Medical) Psychologist
Primary
1278
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06035710
NM
Enumeration date
07/27/2016
Last updated
05/12/2017
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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