Healthcare Provider Details

I. General information

NPI: 1558160895
Provider Name (Legal Business Name): RAYOS DEL SOL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2025
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4243 LYRA CT
LAS CRUCES NM
88011-0946
US

IV. Provider business mailing address

4243 LYRA CT
LAS CRUCES NM
88011-0946
US

V. Phone/Fax

Practice location:
  • Phone: 575-649-0100
  • Fax:
Mailing address:
  • Phone: 575-649-0100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RITA DURAN
Title or Position: OWNER
Credential: LCSW
Phone: 575-649-0100