DONALD ROBERT FRAGA (NPI# 1194213736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194213736 |
| Entity Type | Individual |
| Full Name | DONALD ROBERT FRAGA |
| Practice Address |
1107 S Atkinson Ave Roswell NM 88203-7154 |
| Mailing Address |
704 Grove St Roswell NM 88201-7434 |
| Practice Telephone | 5755784826 |
| Mailing Telephone | 5754206466 |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2018-04-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 0180371 | NM | Residential Treatment Facilities |
| Street Address |
1107 S ATKINSON AVE |
| City | ROSWELL |
| State | NM |
| Zip Code | 88203-7154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194104141 | Recovery Services of New Mexico | Clinic/Center | 1107 S Atkinson Ave, Roswell, NM 88203-7154 | 2015-05-22 |
| 1467088013 | Katherine Castillo | Counselor | 1107 S Atkinson Ave, Roswell, NM 88203-7154 | 2020-03-16 |
| 1356900559 | Cassonda Anne Stafford | Counselor | 1107 S Atkinson Ave, Roswell, NM 88203-7154 | 2019-06-11 |
| 1033607668 | David Bugarin I | Substance Abuse Rehabilitation Facility | 1107 S Atkinson Ave, Roswell, NM 88203-7154 | 2018-04-30 |
| 1497258362 | Cassandra M Carrillo | Rehabilitation Counselor | 1107 S Atkinson Ave, Roswell, NM 88203-7154 | 2018-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770115586 | Katherine Bolin | Behavior Technician | 333 West Brasher Rd. #200, Roswell, NM 88203 | 2020-02-10 |
| 1437660040 | Pecos Valley Eye Surgery Center, LLC | Clinic/Center | 1610 Se Main Street, Roswell, NM 88203 | 2017-10-23 |
| 1285031286 | Wheelchair and Walker Rentals, Inc. | Durable Medical Equipment & Medical Supplies | 305 W Mcgaffey St, Roswell, NM 88203 | 2014-11-20 |
| 1447585914 | Whole World Health Care, PC | Pediatrics | 109 W. Bland, Roswell, NM 88203 | 2009-10-16 |
| 1780825372 | Complete Rehab Adult Services | Clinic/Center | 109 W Bland, Roswell, NM 88203 | 2009-03-12 |
| 1710127220 | Roswell Medical Care | Health Maintenance Organization | 111 W Hobbs, Roswell, NM 88203 | 2009-02-23 |
| 1336330513 | Savitri Aguiar | Internal Medicine | 1511 South Grand, Roswell, NM 88203 | 2007-08-05 |
| 1750455523 | Francisco Casio Bicol Jr. | Occupational Therapist | 200 W 1st St Ste 527, Roswell, NM 88203 | 2006-11-20 |
| 1699861542 | Susan Lee Voigt | Counselor | 200 W 1st, Ste 532, Roswell, NM 88203 | 2006-10-05 |
| 1245336940 | Founders Healthcare LLC | Durable Medical Equipment & Medical Supplies | 104 N Missouri Ave, Roswell, NM 88203 | 2006-09-16 |
| Find all providers in zip 88203 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013162593 | Foundations Recovery Network | Substance Abuse Rehabilitation Facility | 114 Sloan St, Roswell, GA 30075-4922 | 2008-11-25 |
| 1033607668 | David Bugarin I | Substance Abuse Rehabilitation Facility | 1107 S Atkinson Ave, Roswell, NM 88203-7154 | 2018-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518505452 | Innovative Mat Solutions, LLC | Substance Abuse Rehabilitation Facility | 2215 Ambassador Rd Ne Apt 37, Albuquerque, NM 87112-2767 | 2019-12-11 |
| 1225509250 | Recovery House LLC | Substance Abuse Rehabilitation Facility | 9171 Glendale Ave Ne, Albuquerque, NM 87122-3805 | 2018-12-17 |
| 1427535251 | Full Circle Recovery | Substance Abuse Rehabilitation Facility | 3056 Frontier Ave. Ne, Albuquerque, NM 87106-8710 | 2018-07-24 |
| 1679007744 | Eight Northern Indian Pueblos | Substance Abuse Rehabilitation Facility | 579 White Swan Rd, 327 Eagle Drive, Ohkay Owingeh, NM 87566 | 2017-04-17 |
| 1295154888 | Shadow Mountain LLC. | Substance Abuse Rehabilitation Facility | 250 Shadow Mountain Rd., Taos, NM 87571 | 2014-04-10 |
| 1619269446 | The Jericho House | Substance Abuse Rehabilitation Facility | 2845 Dona Ana Rd, Las Cruces, NM 88007-5239 | 2011-05-12 |
| 1063641819 | Nm Department of Health | Substance Abuse Rehabilitation Facility | 100 Calle De Central, Fort Bayard, NM 88036 | 2009-07-14 |
| 1376770214 | The Consortium | Substance Abuse Rehabilitation Facility | 571 North Tenth Street, Fort Sumner, NM 88119-0427 | 2009-06-18 |
| 1386870137 | Dismas House Nm Inc. | Substance Abuse Rehabilitation Facility | 701 Candelaria Rd Nw, Albuquerque, NM 87107-2407 | 2009-06-08 |
| 1760621007 | Shadow Mountain LLC. | Substance Abuse Rehabilitation Facility | 5400 Gibson Blvd. S. E, 3rd Floor, Albuquerque, NM 87109 | 2009-02-10 |
| Find all providers with the same taxonomy | ||||
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| 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.