Juan Tabo Family Medicine Pc

LBN: Juan Tabo Family Medicine Pc
Juan Tabo Family Medicine Pc is an health care organization with primary practice located at 3309 Juan Tabo Blvd Ne Suite C, Albuquerque NM 87111-5131. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Juan Tabo Family Medicine Pc can be contacted via phone (505) 554-1786, or through Muneta, Ben via phone (505) 554-1786.

Contact Information

Primary practice address
3309 Juan Tabo Blvd Ne Suite C Albuquerque NM 87111-5131
Phone: (505) 554-1786
Fax: (505) 508-2482
Website:
Map and Directions
Authorized official contact:
Name: Muneta, Ben Doctor of Medicine (MD)
Phone: (505) 554-1786

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X MD2007-0072 New Mexico

Profile Details

NPI number 1073825816
LBN Legal business name Juan Tabo Family Medicine Pc
DBA Doing business as
Authorized official Muneta, Ben Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2010
Last updated Jul 9th, 2010 - about 14 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 1073825816 NPPES
New Mexico Other 1477790327 CURRENT PROVIDER NUMBER

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