Provider Demographics
NPI:1407665375
Name:APOLLO FITESS LLC
Entity type:Organization
Organization Name:APOLLO FITESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARCOS
Authorized Official - Middle Name:
Authorized Official - Last Name:LEYBA
Authorized Official - Suffix:
Authorized Official - Credentials:NASM
Authorized Official - Phone:505-603-8685
Mailing Address - Street 1:200 PASEO DE LA SERNA
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-6300
Mailing Address - Country:US
Mailing Address - Phone:505-603-8685
Mailing Address - Fax:
Practice Address - Street 1:200 PASEO DE LA SERNA
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-6300
Practice Address - Country:US
Practice Address - Phone:505-603-8685
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-04
Last Update Date:2025-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty