DR. JERRY LEANDRO COCA (NPI# 1679753149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679753149 |
| Entity Type | Individual |
| Full Name | DR. JERRY LEANDRO COCA |
| Practice Address |
Hc 80 Box 365 Las Vegas NM 87701-8959 |
| Practice Telephone | 5054256804 |
| Mailing Telephone | 5054256804 |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2007-11-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
1484 | NM | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 6847 | 05 | |
| NM | 16392033 | 05 | |
| NM | 47265 | 05 | |
| NM | P-2767 | 05 |
| Street Address |
HC 80 BOX 365 |
| City | LAS VEGAS |
| State | NM |
| Zip Code | 87701-8959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851884423 | Nueva Vida Counseling and Consulting Services LLC | Community/Behavioral Health | Nueva Vida Counseling & Consulting Services LLC, 1920 7th Street, Las Vegas, NM 87701 | 2018-06-08 |
| 1316475403 | El Centro Family Health | Family Medicine | 475 Legion Dr., Las Vegas, NM 87701 | 2017-06-01 |
| 1700327384 | Anastacia Sena Jaramillo | Psychologist | 126 Silva Ave., Las Vegas, NM 87701 | 2017-03-15 |
| 1013369222 | Home Medical Equipment Specialists,llc | Durable Medical Equipment & Medical Supplies | 514 8th Street, Las Vegas, NM 87701 | 2016-07-12 |
| 1750730826 | John Michael Tourangeau | Social Worker | 1920 7th Street, Las Vegas, NM 87701 | 2016-06-08 |
| 1154705689 | Lindsy Laura Kragt Allen | Podiatrist | 1608 7th St, Las Vegas, NM 87701 | 2015-07-14 |
| 1023409521 | Ambercare Medical Supply | Durable Medical Equipment & Medical Supplies | 1747 N Grand Ave, Las Vegas, NM 87701 | 2015-02-05 |
| 1538561964 | El Centro Family Health | Clinic/Center | 947 Old National Road, Las Vegas, NM 87701 | 2014-09-17 |
| 1164832150 | Plaza Drugs | Pharmacist | 178 Bridge St, Las Vegas, NM 87701 | 2014-04-30 |
| 1043648165 | Open Doors Home Health Care | Home Health | 713 Railroad Ave., Las Vegas, NM 87701 | 2013-10-29 |
| Find all providers in zip 87701 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073042362 | Darrian Raquel Silva | Psychologist | 222 S Rainbow Blvd Ste 114, Las Vegas, NV 89145-5343 | 2017-06-08 |
| 1164965927 | A Care In Touch LLC | Psychologist | 3132 N Jones Blvd Apt 245, Las Vegas, NV 89108-6575 | 2016-11-28 |
| 1639417264 | Carmen Judith Rosario Dominguez | Psychologist | 7509 Perla Del Mar Ave, Las Vegas, NV 89179-2500 | 2013-01-16 |
| 1699046649 | Teodoro Tovalin Jr. | Psychologist | 6520 Brook Cottage Ln, Las Vegas, NV 89122-0847 | 2012-01-23 |
| 1659492981 | Jeanne White | Psychologist | 2121 N Las Vegas Blvd, Las Vegas, NV 89030 | 2007-04-03 |
| 1922140433 | Brian Joseph Bauduin | Psychologist | 6889 S Eastern Ave, Las Vegas, NV 89119-4687 | 2007-02-12 |
| 1306456181 | Eagle Mind Health Services LLC | Psychologist | 1250 Burnham Ave, Las Vegas, NV 89104-1921 | 2020-08-05 |
| 1871101097 | A Better Way Behavioral Services Inc | Psychologist | 6392 Mcleod Dr Ste 1, Las Vegas, NV 89120-4417 | 2020-07-14 |
| 1184270902 | Amanda Denyce Parks | Psychologist | 3227 E Warm Springs Rd Ste 300, Las Vegas, NV 89120-3180 | 2019-08-16 |
| 1972167963 | Jay Noricks Phd PC | Psychologist | 9402 W Lake Mead Blvd, Las Vegas, NV 89134-8312 | 2019-04-25 |
| Find all providers in LAS VEGAS | ||||
Please comment or provide details below to improve the information on DR. JERRY LEANDRO COCA.
| 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.