Corazon Del Oso Healthcare, LLC
NPI #1891870051 in Los Alamos, New Mexico
Provider Information
- NPI Number
- 1891870051
- Entity Type
- Organization
- Organization Name
- Corazon Del Oso Healthcare, LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Oct 26, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3917 WEST RD STE 138
- City
- Los Alamos
- State
- New Mexico
- ZIP Code
- 87544-5307
- Phone
- (505) 661-9030
Authorized Official
- Name
- MR. MANUEL JUDE BACA SR.
- Title
- PRACTICE MANAGER OPERATOR
- Phone
- (505) 661-9030
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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