Medina, Alonzo

Medina, Alonzo is an individual health care provider with primary practice located at 820 Hwy 478 , Anthony NM 88021. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Specialist. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Medina, Alonzo can be contacted via phone (505) 882-5101.

Contact Information

Primary practice address
820 Hwy 478 Anthony NM 88021
Phone: (505) 882-5101
Fax: (505) 882-6127
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1386767390
LBN Legal business name Medina, Alonzo
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
Last updated Jul 8th, 2007 - about 18 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

Popular Providers