Healthcare Provider Details

I. General information

NPI: 1750388963
Provider Name (Legal Business Name): DULCE HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2005
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 NORTH MUNDO
DULCE NM
87528-0187
US

IV. Provider business mailing address

500 N MUNDO DR
DULCE NM
87528-5176
US

V. Phone/Fax

Practice location:
  • Phone: 505-759-3291
  • Fax: 505-759-3532
Mailing address:
  • Phone: 575-759-3291
  • Fax: 575-759-3532

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP0904X
TaxonomyFederal Public Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: MRS. SANDRA LAHI
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 505-759-7200