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NPI Code Detail

MEDICARE: JOSUE VARELAS

MEDICARE: JOSUE VARELAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1316899651
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSUE VARELAS
Provider Business Mailing Address
First Line : 1100 W 21ST ST
Second Line :
City : CLOVIS
State : NM
Zip : 88101-4151
Country : US
Telephone Number : 575-769-2345
Fax Number : 575-769-9013
Provider Business Practice Location Address
First Line : 1100 W 21ST ST
Second Line :
City : CLOVIS
State : NM
Zip : 88101-4151
Country : US
Telephone Number : 575-769-2345
Fax Number : 575-769-9013
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2026
Last Update Date : 02/10/2026

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Directions to “ JOSUE VARELAS ” Practice Location

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