Kyle Paul Atencio-Crespin | Albuquerque, NM • PECOS Search

Kyle Paul Atencio-Crespin

Case Manager/Care Coordinator

Other Service Providers

4118 Central Ave SE, Albuquerque, NM 87108-1177

PECOS Enrollment

Based on the most recent information from CMS, provider Kyle Paul Atencio-Crespin does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1275188906
Provider Type
Individual
Full Name
Atencio-Crespin, Kyle Paul
Gender
Male

Sole Proprietor
No
Enumeration Date
8/8/2019
Last Updated
8/8/2019

Contact Information

Practice Location

4118 Central Ave SE, Albuquerque, NM 87108-1177

Unlisted Fax

Mailing Location

6514 Cleghorn Rd NW, Albuquerque, NM 87120-1682

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 171M00000X Primary	Description Case Manager/Care Coordinator Other Service Providers	License Unlisted Issuer