Paula Renee Mora in Gallup - General Practice

Paula Renee Mora - NPI 1316915051

Paula Renee Mora is a General Practice in Gallup, New Mexico. Paula Renee Mora practices all healthcare services and medical treatments related to General Practice. The NPI Number for Paula Renee Mora is 1316915051. The last update date is 2014-02-04.

Paula Renee Mora's current location address is 516 E Nizhoni Blvd, Gallup, New Mexico. You can contact this provider via phone number 5057221482 and fax number 5057221629. The mailing address for Paula Renee Mora is 516 E Nizhoni Blvd, Gallup, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Name Paula Renee Mora
Address 516 E Nizhoni Blvd, Gallup, New Mexico
Phone Number 5057221482
Fax Number 5057221629
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1316915051
Provider Enumeration Date 2006-03-09
Last Updated Date 2014-02-04

Provider Mailing Address Detail

Address 516 E Nizhoni Blvd
City Gallup
State New Mexico (NM)
Post Code 873015748
Phone Number 5057221482
Fax Number 5057221629

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No 29216
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
21657025 NM --
769614 NM AHCCCS

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FAQs about Paula Renee Mora

What is the unique identifier code issued to Paula Renee Mora by the Centers for Medicare & Medicaid Services (CMS)?

The Paula Renee Mora has been assigned the NPI (National Provider Identifier) 1316915051. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Paula Renee Mora's facilities are situated?

The facilities of Paula Renee Mora are physically located at the following address: 516 E Nizhoni Blvd, Gallup, NM, 873015748.

What is the Paula Renee Mora's area of specialization and corresponding taxonomy classification?

The Paula Renee Mora's specialty field is General Practice, and it falls under the taxonomy code 208D00000X, which categorizes healthcare providers based on their specialties.

On what date was the 1316915051 assigned to Paula Renee Mora?

The Paula Renee Mora was issued its 1316915051 on 2006-03-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Paula Renee Mora most recently updated or refreshed?

The details pertaining to the Paula Renee Mora, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-02-04.

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