Provider Demographics
NPI:1609189182
Name:NUEVO DIA LLC
Entity Type:Organization
Organization Name:NUEVO DIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:L.P.C.
Authorized Official - Prefix:
Authorized Official - First Name:SOCORRO
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYNEZ-OLMOS
Authorized Official - Suffix:
Authorized Official - Credentials:SOLE PROPRIETOR
Authorized Official - Phone:915-422-8399
Mailing Address - Street 1:125 THUNDERBIRD DR
Mailing Address - Street 2:SUITE J
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-4541
Mailing Address - Country:US
Mailing Address - Phone:915-422-8399
Mailing Address - Fax:915-581-7599
Practice Address - Street 1:125 THUNDERBIRD DR
Practice Address - Street 2:SUITE J
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-4541
Practice Address - Country:US
Practice Address - Phone:915-422-8399
Practice Address - Fax:915-581-7599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-26
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care