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NPI Code Detail

MEDICARE: HOPEFUL REDEMPTION WELLNESS CENTER

MEDICARE: HOPEFUL REDEMPTION WELLNESS CENTER
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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1528913852
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOPEFUL REDEMPTION WELLNESS CENTER
Provider Business Mailing Address
First Line : 4 SHADOWS DR
Second Line :
City : LOS LUNAS
State : NM
Zip : 87031-7651
Country : US
Telephone Number : 505-550-7362
Fax Number :
Provider Business Practice Location Address
First Line : 4 SHADOWS DR
Second Line :
City : LOS LUNAS
State : NM
Zip : 87031-7651
Country : US
Telephone Number : 505-550-7362
Fax Number :
Authorized Official
Title or Position : C0-OWNER
Name : BERNADETTE MARIE PEREA-ZAMORA
Credential : FNP-BC
Telephone Number : 505-550-7362
Provider Enumeration Date : 03/02/2026
Last Update Date : 03/02/2026

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Directions to “HOPEFUL REDEMPTION WELLNESS CENTER ” Practice Location

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