Organization
PASOS ADELANTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALVADOR BACA (ADMINISTRATOR)
(575) 589-2400
Entity
Organization
Contact information
Practice address
101 MAGUEY CT, SUITE 1, SUNLAND PARK, NM 88063-9513
(575) 589-2400
Mailing address
101 MAGUEY CT, SUITE 1, SUNLAND PARK, NM 88063-9513
(575) 589-2400
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
0118221
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548439136
—
NM
Enumeration date
07/06/2011
Last updated
07/06/2011
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