OrganizationActive
Paula S Practice
NPI 1053541409 · Primary Care Clinic/Center · San Ysidro, NM
Provider details
- NPI number
- 1053541409
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Paula Enyeart, C0-Director(505) 321-9935
- License
- R31220 (NM)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
348 State Road 4
San Ysidro, NM 87053-0348
Phone: (505) 321-9935
Fax: (575) 289-2688
Street-level locationGet directions
Mailing address
Po Box 1629
Cuba, NM 87013-1629
Other names (DBA / former)
- Doing business as
- San Ysidro Health Clinic
Registry dates
- Enumerated
- 2009-07-20
- Last updated
- 2009-12-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.