Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Ruben Alfaro Supan, NP-C

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1619392883

Mr. Ruben Alfaro Supan, NP-C is a Nurse Practitioner in Roswell, New Mexico. Qualified in 2013, 13 years ago. Practices with Ruben a Supan LLC, a 2-clinician group and offers telehealth. Licensed in New Mexico.

Years since qualifying
13
Licensed in
NM
In the registry since
2014
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

405 W Country Club Rd
Roswell, NM 88201-5209
Phone: (505) 409-0831
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence CNP-02362 (NM)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence CNP02032 (NM)

Record details

NPI number1619392883
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorYes
NPI enumeratedFebruary 25, 2014
Last updated in NPPESOctober 27, 2023
Certification dateOctober 27, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Ruben A Supan Llc — 2 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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