Organization
LOS PORTALES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OSCAR DEL VALLE (MANAGER)
(915) 229-0125
Entity
Organization
Contact information
Practice address
300 HIGHWAY 28, ANTHONY, NM 88021-8546
(915) 229-0125
Mailing address
PO BOX 13489, EL PASO, TX 79913-3489
(915) 229-0125
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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