Provider Demographics
NPI:1043906118
Name:DUENAS LLC
Entity Type:Organization
Organization Name:DUENAS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIDUENAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-340-4166
Mailing Address - Street 1:1209 LAWRENCE CT NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87123-1905
Mailing Address - Country:US
Mailing Address - Phone:505-340-4166
Mailing Address - Fax:
Practice Address - Street 1:1209 LAWRENCE CT NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87123-1905
Practice Address - Country:US
Practice Address - Phone:505-340-4166
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-12
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care