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Corazon del Oso Healthcare, LLC

NPI 1891870051ActiveOrganization· Clinic/Center, Primary Care· Los Alamos, NM

Clinic/Center, Primary Care in Los Alamos, New Mexico, registered in NPPES in October 2006. The authorized official on file is Manuel Jude Baca, Practice Manager Operator.

Overview

NPI1891870051
StatusActive
Entity typeOrganization
NPI issuedOct 26, 2006
Last updated in NPPESAug 22, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Clinic/Center, Primary Care Primary261QP2300X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Clinic/Center, Primary Care providers in Los Alamos

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