Becerra, Maria Theresa

Becerra, Maria Theresa is an individual health care provider with primary practice located at 5290 Mcnutt Rd Unit 2 , Santa Teresa NM 88008-2002. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Becerra, Maria Theresa can be contacted via phone (575) 589-1144.

Contact Information

Primary practice address
5290 Mcnutt Rd Unit 2 Santa Teresa NM 88008-2002
Phone: (575) 589-1144
Fax: (575) 589-2008
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 539455 Texas

Profile Details

NPI number 1568427466
LBN Legal business name Becerra, Maria Theresa
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568427466 NPPES
Texas MEDICAID 178993503

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