DR. HORACIO FAVELA JR. (NPI# 1669085650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669085650 |
| Entity Type | Individual |
| Full Name | DR. HORACIO FAVELA JR. |
| Credential | DDS |
| Practice Address |
2625 Mcnutt Rd Sunland Park NM 88063-9608 |
| Mailing Address |
5877 Acacia Cir Apt 1218 El Paso TX 79912-4877 |
| Practice Telephone | 5755891500 |
| Mailing Telephone | 9152041903 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DD5312 | NM | Dental Providers |
| Street Address |
2625 MCNUTT RD |
| City | SUNLAND PARK |
| State | NM |
| Zip Code | 88063-9608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730152281 | La Clinica De Familia, Incorporated | Clinic/Center | 2625 Mcnutt Rd, Sunland Park, NM 88063-9019 | 2006-02-07 |
| 1801456058 | Crystal Morales | Case Manager/Care Coordinator | 2625 Mcnutt Rd, Sunland Park, NM 88063-9608 | 2019-06-19 |
| 1457711434 | Kerima B Setra | Dental Hygienist | 2625 Mcnutt Rd, Sunland Park, NM 88063-0940 | 2016-03-03 |
| 1881065944 | Srikanthi Saladi | Dentist | 2625 Mcnutt Rd, Sunland Park, NM 88063 | 2015-10-15 |
| 1841673951 | Rajan Gupta | Dentist | 2625 Mcnutt Rd, Sunland Park, NM 88063-9019 | 2015-07-07 |
| 1609260496 | Sandra Ceniceros | Dental Hygienist | 2625 Mcnutt Rd, Sunland Park, NM 88063-9019 | 2015-03-19 |
| 1497162929 | Leticia Castillo | Social Worker | 2625 Mcnutt Rd, Sunland Park, NM 88063 | 2014-07-16 |
| 1477968246 | Anne Roberti | Family Medicine | 2625 Mcnutt Rd, Sunland Park, NM 88063 | 2014-06-30 |
| 1922449560 | Sucharitha Meka | Family Medicine | 2625 Mcnutt Rd, Sunland Park, NM 88063 | 2013-07-11 |
| 1770874927 | Samyuktha Reddy Duvurri | Dentist | 2625 Mcnutt Rd, Sunland Park, NM 88063-9019 | 2011-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962801258 | Kristina Sutton | Speech-Language Pathologist | 4950 Mcnut Road, Sunland Park, NM 88063 | 2014-08-22 |
| 1609147313 | Sonia Maldonado | Counselor | 101 Maguey Court, Suite 1, Sunland Park, NM 88063 | 2012-01-26 |
| 1902027501 | Marsha Brand | Speech-Language Pathologist | 4950 Mcnutt Road, Sunland Park, NM 88063 | 2007-05-01 |
| 1114143393 | Gadsden Independent School District | Local Education Agency (LEA) | 4950 Mcnutt Rd, Sunland Park, NM 88063 | 2007-04-17 |
| 1275658254 | Irma Carrasco | Specialist | 4950 Mc Nutt Rd, Anthony, NM 88063 | 2007-03-20 |
| 1861745572 | Juliana Moran | Speech-Language Pathologist | 4950 Mcnutt Rd, Santa Teresa, NM 88063 | 2012-10-18 |
| 1831461243 | Maria Lourdes Torres | Community Health Worker | 3465 Mcnutt Rd, Sunland Park, NM 88063 | 2012-01-31 |
| 1447490248 | Jeanette Edwards | Psychologist | 4950 Mcnutt Rd, Santa Teresa, NM 88063 | 2009-03-06 |
| 1427235886 | Berenice Holguin | Social Worker | 4950 Mcnutt Rd, Sunland Park, NM 88063 | 2008-01-29 |
| 1396922746 | Ivette Acevedo | Occupational Therapist | 4950 Mcnutt Rd, Sunland Park, NM 88063 | 2008-01-29 |
| Find all providers in zip 88063 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356642516 | Asha Kiran Gummadi | Dentist | 2625 Mcnutt Rd, Sunland Park, NM 88063-9019 | 2010-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841803830 | Tri Dental, LLC | Dentist | 3715 Las Estancias Ct Sw Ste 101, Albuquerque, NM 87121-5506 | 2020-08-28 |
| 1609485077 | Joseph Potter | Dentist | 3510 Coors Blvd Sw, Albuquerque, NM 87121-5328 | 2020-07-30 |
| 1760090880 | Elizabeth Hays | Dentist | 1405 S Valley Dr Ste 300, Las Cruces, NM 88005-3132 | 2020-07-15 |
| 1861024861 | Brian K Dennis Dds PC | Dentist | 8400 Osuna Rd Ne Ste 6a, Albuquerque, NM 87111-2073 | 2020-02-07 |
| 1285264242 | Professional Dental Care Pllc | Dentist | 550 Saint Michaels Dr Ste 2, Santa Fe, NM 87505-7604 | 2020-01-18 |
| 1134769235 | Abq Dentists PC | Dentist | 3900 Eubank Blvd Ne Ste 14, Albuquerque, NM 87111-3427 | 2020-01-07 |
| 1477197804 | Juan Tabo Dentistry LLC | Dentist | 1924 Juan Tabo Blvd Ne Ste C, Albuquerque, NM 87112-3358 | 2019-10-29 |
| 1013550094 | Bosque Smiles Dentistry, LLC | Dentist | 5600 Coors Blvd Nw Ste G4, Albuquerque, NM 87120-1877 | 2019-10-23 |
| 1336796473 | Salud Dental Group Chaparral | Dentist | 320 Mccombs Rd Ste E, Chaparral, NM 88081-7937 | 2019-08-22 |
| 1639725732 | John Jerome Fagel | Dentist | 07 Choos Gai Dr, Tohatchi, NM 87325 | 2019-08-14 |
| Find all providers with the same taxonomy | ||||
| City | SUNLAND PARK |
| Zip Code | 88063 |
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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.