Healthcare Provider Details

I. General information

NPI: 1104922954
Provider Name (Legal Business Name): AYUDANTES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1316 APACHE AVE
SANTA FE NM
87505-3212
US

IV. Provider business mailing address

1316 APACHE AVE
SANTA FE NM
87505-3212
US

V. Phone/Fax

Practice location:
  • Phone: 505-438-0035
  • Fax: 505-438-0051
Mailing address:
  • Phone: 505-438-0035
  • Fax: 505-438-0051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MS. VIOLANDA NUNEZ
Title or Position: EXECUTIVE DIRECTOR
Credential: LISW
Phone: 505-438-0035