Provider Demographics
NPI:1003998410
Name:AYUDANTES, INC
Entity Type:Organization
Organization Name:AYUDANTES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VIOLANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:NUNEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-438-0035
Mailing Address - Street 1:3001 HOT SPRINGS BLVD
Mailing Address - Street 2:#5
Mailing Address - City:LAS VEGAS
Mailing Address - State:NM
Mailing Address - Zip Code:87701-4175
Mailing Address - Country:US
Mailing Address - Phone:505-425-6786
Mailing Address - Fax:505-425-6787
Practice Address - Street 1:3001 HOT SPRINGS BLVD
Practice Address - Street 2:#5
Practice Address - City:LAS VEGAS
Practice Address - State:NM
Practice Address - Zip Code:87701-4175
Practice Address - Country:US
Practice Address - Phone:505-425-6786
Practice Address - Fax:505-425-6787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM3066B3251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM00052005Medicaid