Espinoza, Pedro Ivan

Espinoza, Pedro Ivan is an individual health care provider with primary practice located at 249 White Mountain Dr. , Mescalero NM 88340. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Espinoza, Pedro Ivan can be contacted via phone (575) 464-4431.

Contact Information

Primary practice address
249 White Mountain Dr. Mescalero NM 88340
Phone: (575) 464-4431
Fax: (575) 464-0016
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1295010700
LBN Legal business name Espinoza, Pedro Ivan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2011
Last updated Mar 29th, 2014 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1295010700 NPPES
New Mexico MEDICAID 18677037

Popular Providers