Supan, Ruben Alfaro

Supan, Ruben Alfaro is an sole proprietor health care provider with primary practice located at 405 W Country Club Rd , Roswell NM 88201-5209. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Supan, Ruben Alfaro can be contacted via phone (505) 409-0831.

Contact Information

Primary practice address
405 W Country Club Rd Roswell NM 88201-5209
Phone: (505) 409-0831
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X CNP02032 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP-02362 New Mexico

Profile Details

NPI number 1619392883
LBN Legal business name Supan, Ruben Alfaro
Credentials NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 25th, 2014
Last updated Oct 27th, 2023 - about last year

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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