Pablo L Vigil (NPI# 1902994536, PAC ID# 9638200546) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
Nation Provider ID (NPI) | 1902994536 |
PAC ID by PECOS | 9638200546 |
Professional Enrollment ID | I20100621000700 |
Full Name | Pablo L Vigil |
Organization Legal Name | MORA VALLEY COMMUNITY HEALTH SERVICES INC |
Address |
13 Mora Valley Clinic Rd Mora NM 87732 |
Phone Number | 5753875069 |
Gender | M |
Medical School | UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE |
Graduation Year | 1976 |
Primary Specialty | FAMILY PRACTICE |
Group Practice PAC ID | 4486541901 |
Number of Group Practice Members | 5 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
320003 | ALTA VISTA REGIONAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
13 Mora Valley Clinic Rd, Mora, NM 87732 | 5753875069 | MORA VALLEY COMMUNITY HEALTH SERVICES INC |
Organization Legal Name | MORA VALLEY COMMUNITY HEALTH SERVICES INC |
Physicians | 1 |
Street Address |
13 MORA VALLEY CLINIC RD |
City | MORA |
State | NM |
Zip | 87732 |
Name | Specialty | Organization | Address |
---|---|---|---|
Dana L Savage | Nurse Practitioner | 3 Mora Valley Clinic Rd, Mora, NM 87732-2202 |
City | MORA |
Zip Code | 87732 |
Specialty | FAMILY PRACTICE |
City + Specialty | MORA + FAMILY PRACTICE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.