Buena Vida Physical Therapy And Wellness Llc

LBN: Buena Vida Physical Therapy And Wellness Llc
Buena Vida Physical Therapy And Wellness Llc is an health care organization with primary practice located at 601 E Lincoln St , Las Vegas NM 87701-4502. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Buena Vida Physical Therapy And Wellness Llc can be contacted via phone (505) 425-2998, or through Burciaga, Stella Jeanne via phone (505) 718-8309.

Contact Information

Primary practice address
601 E Lincoln St Las Vegas NM 87701-4502
Fax: (505) 425-2897
Website:
Authorized official contact:
Name: Burciaga, Stella Jeanne Physical Therapist (PT)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 3283 New Mexico

Profile Details

NPI number 1982863999
LBN Legal business name Buena Vida Physical Therapy And Wellness Llc
DBA Doing business as
Authorized official Burciaga, Stella Jeanne Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2008
Last updated Apr 7th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982863999 NPPES
New Mexico MEDICAID 36072842

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