Provider Demographics
NPI:1760692248
Name:ORELLANA, ALAN ENRIQUE (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:ENRIQUE
Last Name:ORELLANA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5746 TROWBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-3341
Mailing Address - Country:US
Mailing Address - Phone:915-219-4300
Mailing Address - Fax:915-519-4300
Practice Address - Street 1:2407 S TELSHOR BLVD
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-5049
Practice Address - Country:US
Practice Address - Phone:575-532-0303
Practice Address - Fax:575-530-0306
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2022-11-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXBP10017118207R00000X
NMMD2009-0658207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM09070214Medicaid
NMNMA100984Medicare PIN