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CANO HEALTH NEW MEXICO LLC NPI 1316511520


NPI Information

NPI: 1316511520
Provider Name: CANO HEALTH NEW MEXICO, LLC
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 29D2217402

Address:
2839 CARLISLE BLVD NE
ALBUQUERQUE, NM
ZIP 87110
Phone: (855) 226-6633
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CANO HEALTH NEW MEXICO, LLC is a general practice in Albuquerque, NM. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee CANO HEALTH NEW MEXICO, LLC NPI is 1316511520. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2839 CARLISLE BLVD NE
ALBUQUERQUE, NM
ZIP 87110-876
Phone: (855) 226-6633

The provider's authorized official is Marlow B Hernandez .
The authorized official title is Ceo and has the following contact phone number (954) 514-9360.

The CLIA number assigned to this NPI record is 29D2217402 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/13/2021 and was last updated on 5/13/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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