| NPI | 1508047267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GILBERTO TALAMANTES ALVARADO Family Nurse Practitioner 505-797-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NM FA0078407) |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2007-11-21 |