Organization
BALDERAS LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORAELIA QUIROZ BALDERAS FNP (PROVIDER)
(830) 719-8219
Entity
Organization
Contact information
Practice address
902 LOWELL DR, ROCKY FORD, CO 81067-2104
(719) 652-2962
(719) 652-2962
Mailing address
PO BOX 165, LA JUNTA, CO 81050-0165
(830) 719-8219
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/07/2025
Last updated
11/15/2025
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