Varela, Alfred Basil

Varela, Alfred Basil 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 Other Service Providers / Specialist, which is considered as his primary health care specialty. Varela, Alfred Basil can be contacted via phone (505) 589-5005.

Contact Information

Primary practice address
5055 Mcnutt Rd Santa Teresa NM 88008-9442
Phone: (505) 589-5005
Fax: (505) 589-1333
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 88-277 New Mexico

Profile Details

NPI number 1699766816
LBN Legal business name Varela, Alfred Basil
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Apr 4th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699766816 NPPES
New Mexico MEDICAID 08151

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