MARIO VELA (NPI# 1023068012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023068012 |
| Entity Type | Individual |
| Full Name | MARIO VELA |
| Credential | FNP, DNP |
| Practice Address |
5055 Mcnutt Rd Santa Teresa NM 88008-9442 |
| Practice Telephone | 5755895005 |
| Practice Fax Number | 5755891333 |
| Mailing Telephone | (575) 589-5005 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP017111 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP114354 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 3394272-01 | 05 | |
| TX | BCBS | 8090NJ | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4301 N Mesa St, Suite 100, El Paso, TX 799021121 | 9155326767 | 9155324023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619354735 | Mario Jack Vela | Student in an Organized Health Care Education/Training Program | 314 Regal Dr, Laredo, TX 78041-2339 | 2015-04-27 |
| 1740217561 | Mario R Vela | Specialist/Technologist | 3536 Butte Campus Dr, Oroville, CA 95965-8303 | 2006-06-27 |
| Street Address |
5055 MCNUTT RD |
| City | SANTA TERESA |
| State | NM |
| Zip Code | 88008-9442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861483083 | Henry Calderoni | Family Medicine | 5055 Mcnutt Rd, Santa Teresa, NM 88008-9442 | 2005-11-04 |
| 1306464615 | Peter Sangra Md LLC | Psychiatry & Neurology | 5055 Mcnutt Rd, Santa Teresa, NM 88008-9442 | 2020-07-13 |
| 1144757063 | Santa Teresa Family Medical Center | Clinic/Center | 5055 Mcnutt Rd, Santa Teresa, NM 88008-9442 | 2017-05-23 |
| 1265873947 | Peter K. Sangra | Psychiatry & Neurology | 5055 Mcnutt Rd, Santa Teresa, NM 88008-9442 | 2013-07-10 |
| 1164603619 | Santa Teresa Occmed Center, PC | General Practice | 5055 Mcnutt Rd, Santa Teresa, NM 88008-9442 | 2007-11-26 |
| 1982610580 | Carlos Rafael Montes | Physical Therapist | 5055 Mcnutt Rd, Santa Teresa, NM 88008-9442 | 2006-08-01 |
| 1558325969 | Douglas Zischkau | Family Medicine | 5055 Mcnutt Rd, Santa Teresa, NM 88008-9442 | 2006-04-13 |
| 1669459947 | Santa Teresa Medical Care Center PC | Internal Medicine | 5055 Mcnutt Rd, Santa Teresa, NM 88008-9442 | 2005-12-28 |
| 1699766816 | Alfred Basil Varela | Specialist | 5055 Mcnutt Rd, Santa Teresa, NM 88008-9442 | 2005-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507211 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 5690 Santa Teresita Drive, Suite A2, Room P1, Santa Teresa, NM 88008 | 2020-10-27 |
| 1891848131 | Direct Healthcare South Inc | Home Health | 101 Livingston Loop, Suite 5, Santa Teresa, NM 88008 | 2007-01-19 |
| 1912061235 | Rio Valle Behavioral Health Centre | Psychiatry & Neurology | 101 Livinston Loop, Bldg C Suite 3, Santa Teresa, NM 88008 | 2006-12-21 |
| 1679634562 | Robert L Nichols | Family Medicine | 1300 Country Club Road, Santa Teresa, NM 88008 | 2006-12-13 |
| 1881792950 | Leo J Raschbaum Mdpc | Clinic/Center | 5690 Santa Teresita, Building A, Suite 4, Santa Teresa, NM 88008 | 2006-09-20 |
| 1366410276 | Emilio T. Rivera | Anesthesiology | 5290 Mcnutt Rd, Ste 109, Santa Teresa, NM 88008 | 2006-03-08 |
| 1225486194 | Diane Rivera | Registered Nurse | 101 Airport Road, Santa Teresa, NM 88008 | 2016-06-01 |
| 1780080358 | Audriana Apodaca | Nurse Practitioner | 100 Airport Rd, Santa Teresa, NM 88008 | 2014-11-10 |
| 1447667001 | Noha Oushy Eissa | Dentist | 103 Livingston Loop Ste B3, Santa Teresa, NM 88008 | 2014-07-16 |
| 1871963017 | Oralia Quezada | Student in an Organized Health Care Education/Training Program | 103 Livingston Loop, Bldg B, Suite 4, Santa Teresa, NM 88008-1063 | 2015-09-30 |
| Find all providers in zip 88008 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568427466 | Maria Theresa Becerra | Nurse Practitioner | 5290 Mcnutt Rd Unit 2, Santa Teresa, NM 88008-2002 | 2006-04-20 |
| 1730742388 | Myriam Yvonne Frias | Nurse Practitioner | 5290 Mcnutt Rd, Santa Teresa, NM 88008-1590 | 2019-04-18 |
| 1013286830 | Lorena Carrillo Henderson | Nurse Practitioner | 1245 Country Club Rd, Suite 200, Santa Teresa, NM 88008-9743 | 2011-12-22 |
| 1407043300 | Maria Adelina Frisbie-veal | Nurse Practitioner | 103 Livingston Loop, Bldg B Ste 4, Santa Teresa, NM 88008-9747 | 2007-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851845 | Jessica Montoya | Nurse Practitioner | 119 California Pine Rd Ne, Rio Rancho, NM 87124-2505 | 2020-11-03 |
| 1497354328 | Tracy Bui | Nurse Practitioner | 9200 Timber Ridge Rd Nw, Albuquerque, NM 87120-6278 | 2020-10-21 |
| 1477152619 | Aileen Liong | Nurse Practitioner | 3820 Dynamite Rd Ne, Rio Rancho, NM 87144-4160 | 2020-10-20 |
| 1578162822 | Holly Killough | Nurse Practitioner | 2332 Cottage San Rd, Silver City, NM 88061-8966 | 2020-10-19 |
| 1558969253 | Beverly Carter | Nurse Practitioner | 5021 Nelson Pl Nw, Albuquerque, NM 87114-4320 | 2020-10-14 |
| 1932706223 | Rozita Dayani | Nurse Practitioner | 6821 Promenade Ave Ne, Albuquerque, NM 87109-2824 | 2020-10-08 |
| 1730795626 | Jia Wu | Nurse Practitioner | 7124 Marseille Pl Ne, Albuquerque, NM 87122-3328 | 2020-09-17 |
| 1912513870 | Ariel A Nunez | Nurse Practitioner | 500 Walter Street Ne, Suite 216, Lovelace Medical Towers - Clinical Informatics, Albuquerque, NM 87102-2543 | 2020-09-16 |
| 1114531100 | Anneliese K. Glasgow | Nurse Practitioner | 2515 Tiffany Dr, Las Cruces, NM 88011-0880 | 2020-09-07 |
| 1326652173 | Matthew S Fogel | Nurse Practitioner | 3129 Casa Bonita Dr Ne, Albuquerque, NM 87111-5607 | 2020-08-31 |
| Find all providers with the same taxonomy | ||||
| City | SANTA TERESA |
| Zip Code | 88008 |
Please comment or provide details below to improve the information on MARIO VELA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.