NPI 1396058079

Rosita'

Organisation Exclusive Provider Organization Rio Rancho, NM

Practice location

Address: 825 Toadlena Meadows Dr NE, Rio Rancho, NM 87144-0542
Phone: (505) 818-1846

Authorised official

Name: Rosita A. Moya-Herrera
Title: Therapist
Phone: (505) 771-5958

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence M-05024 (NM)

Other Exclusive Provider Organization providers in New Mexico →

Registry record

NPI: 1396058079
Entity type: Organization
NPI issued: 22 Jul 2010
Record last updated: 22 Jul 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.