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1396670758

NPI Code Detail

MEDICARE: ALDUENDA HEALTH SERVICES LLC

MEDICARE: ALDUENDA HEALTH SERVICES 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	122300000X	Dentist

General Provider Information

NPI Number	:	1396670758
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALDUENDA HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	PO BOX 4965
Second Line	:
City	:	SAN LUIS
State	:	AZ
Zip	:	85349-4965
Country	:	US
Telephone Number	:	928-509-1279
Fax Number	:	928-361-2599

Provider Business Practice Location Address
First Line	:	4200 RESEARCH FOREST DR STE 650
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77381-7800
Country	:	US
Telephone Number	:	928-509-1279
Fax Number	:	928-361-2599

Authorized Official
Title or Position	:	DIRECTOR
Name	:	PAUL ALDUENDA NAFARRATE
Credential	:
Telephone Number	:	928-509-1279

Provider Enumeration Date	:	06/16/2026
Last Update Date	:	06/16/2026

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Directions to “ALDUENDA HEALTH SERVICES LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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