Molina, Reymundo A.

Molina, Reymundo A. is an sole proprietor health care provider with primary practice located at 122 S Gold Ave Suite 6, Deming NM 88030-3755. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Molina, Reymundo A. can be contacted via phone (575) 544-1849.

Contact Information

Primary practice address
122 S Gold Ave Suite 6 Deming NM 88030-3755
Phone: (575) 544-1849
Fax: (575) 546-5923
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 1728 New Mexico
Behavioral Health & Social Service Providers / Mental Health 101YM0800X New Mexico

Profile Details

NPI number 1154545341
LBN Legal business name Molina, Reymundo A.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2007
Last updated Jun 29th, 2024 - about 5 months 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 1154545341 NPPES
New Mexico MEDICAID Z3995

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