Organization
PROFESSIONAL CASE COORDINATION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL PAUL ROMERO (CEO/DIRECTOR)
(505) 715-3708
Entity
Organization
Contact information
Practice address
9798 COORS BLVD BLDG D, ALBUQUERQUE, NM 87114
(505) 715-3708
(505) 207-8590
Mailing address
P.O. BOX 67261, ALBUQUERQUE, NM 87193-7261
(505) 715-3708
(505) 207-8590
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
62136763
—
NM
Enumeration date
12/28/2016
Last updated
10/29/2021
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