| NPI | 1891621777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGIO HUERTA Owner 575-405-1390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2026-06-19 |
| Last Update Date | 2026-06-19 |