MEDICARE: HEALTHQUEST MEDICAL CLINIC LLC

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
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1083703250
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHQUEST MEDICAL CLINIC LLC

Provider Business Mailing Address
First Line	:	PO BOX 13148
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88013-3148
Country	:	US
Telephone Number	:	575-642-6738
Fax Number	:	575-541-1069

Provider Business Practice Location Address
First Line	:	1001 N SOLANO DR
Second Line	:	STE:A
City	:	LAS CRUCES
State	:	NM
Zip	:	88001-2366
Country	:	US
Telephone Number	:	575-522-4040
Fax Number	:	575-541-1069

Authorized Official
Title or Position	:	WIFE OF MD-OWNER
Name	:	MRS. ROMANA R SAAVEDRA
Credential	:	MGR
Telephone Number	:	575-642-6738

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	06/30/2014

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Directions to “HEALTHQUEST MEDICAL CLINIC LLC ” Practice Location

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