Los Portales LLC
NPI #1689131427 in Anthony, New Mexico
Provider Information
- NPI Number
- 1689131427
- Entity Type
- Organization
- Organization Name
- Los Portales LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Feb 28, 2019
- Last Updated
- Feb 28, 2019
Practice Location
- Address
- 300 HIGHWAY 28
- City
- Anthony
- State
- New Mexico
- ZIP Code
- 88021-8546
- Phone
- (915) 229-0125
Authorized Official
- Name
- MR. OSCAR DEL VALLE
- Title
- MANAGER
- Phone
- (915) 229-0125
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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