Vela, Mario

Vela, Mario is an individual health care provider with primary practice located at 5055 Mcnutt Rd , Santa Teresa NM 88008-9442. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Vela, Mario can be contacted via phone (575) 589-5005.

Contact Information

Primary practice address
5055 Mcnutt Rd Santa Teresa NM 88008-9442
Phone: (575) 589-5005
Fax: (575) 589-1333
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP114354 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP017111 New Mexico

Profile Details

NPI number 1023068012
LBN Legal business name Vela, Mario
Credentials FNP, DNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Jul 21st, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023068012 NPPES
Texas MEDICAID 3394272-01
Texas Other 8090NJ

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