Bruna De Gouveia LLC
Dentist, General Practice in Carlsbad, NM. Organization (NPI-2).
NPI number1508668732
StatusActive
Last updated in NPPESMar 26, 2025
Details
- NPI
- 1508668732
- Entity type
- Organization (NPI-2)
- Legal business name
- Bruna De Gouveia LLC
- Organization subpart
- No
- Enumeration date
- Mar 26, 2025
- Certification date
- Mar 26, 2025
- Last updated
- Mar 26, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
612 N Canyon StCarlsbad, NM 88220-5842
Phone 575-887-7594
Mailing address
612 N Canyon StCarlsbad, NM 88220-5842
Phone 575-887-7594
Authorized official
Bruna De Gouveia
Owner Dentist
5758877594
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