Provider Demographics
NPI:1467133132
Name:ALEMAN, AMBAR (LM, CPM)
Entity Type:Individual
Prefix:
First Name:AMBAR
Middle Name:
Last Name:ALEMAN
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5820 LAURENSITO
Mailing Address - Street 2:
Mailing Address - City:SANTA TERESA
Mailing Address - State:NM
Mailing Address - Zip Code:88008-5300
Mailing Address - Country:US
Mailing Address - Phone:787-960-3135
Mailing Address - Fax:
Practice Address - Street 1:1308 MAGOFFIN AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79901-1626
Practice Address - Country:US
Practice Address - Phone:787-532-5895
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-26
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife