Healthcare Provider Details

I. General information

NPI: 1639952997
Provider Name (Legal Business Name): RAMONCITA JUANITA CUEVAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2023
Last Update Date: 08/18/2023
Certification Date: 08/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8745 COUNTY ROAD 9 S
ALAMOSA CO
81101-9610
US

IV. Provider business mailing address

8745 COUNTY ROAD 9 S
ALAMOSA CO
81101-9610
US

V. Phone/Fax

Practice location:
  • Phone: 719-589-3671
  • Fax:
Mailing address:
  • Phone: 719-589-3671
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: