Organization
EL PUEBLO HEALTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN YVETTE BUENO (OFFICE MANAGER)
(505) 771-5210
Entity
Organization
Contact information
Practice address
148 SPARTAN ALY, BERNALILLO, NM 87004-6298
(505) 867-2324
Mailing address
121 CALLE DEL PRESIDENTE, BERNALILLO, NM 87004-6091
(505) 771-5210
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/02/2019
Last updated
08/02/2019
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