OrganizationActive
Corazon Del Oso Healthcare, LLC
NPI 1891870051 · Primary Care Clinic/Center · Los Alamos, NM
Provider details
- NPI number
- 1891870051
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Manuel Baca, Practice Manager Operator(505) 661-9030
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3917 West Rd Ste 138
Los Alamos, NM 87544-5307
Phone: (505) 661-9030
Fax: (505) 661-9666
Approximate (ZIP-level) locationGet directions
Mailing address
138 Aragon Ave
Los Alamos, NM 87544-3502
Registry dates
- Enumerated
- 2006-10-26
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.