Prisma Davalos, PA-C
Prisma Davalos, PA-C is a Physician Assistant in Portales, New Mexico. Qualified in 2024, 2 years ago. Practices with Roosevelt County Special Hospital District, a 37-clinician group and accepts Medicare assignment.
- Years since qualifying
- 2
- In the registry since
- 2022
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
42121 US Hwy 70Portales, NM 88130
Phone: (575) 356-6652
Fax: (575) 359-6827
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|---|
| Surgical Physician Assistant | Taxonomy 363AS0400X |
Record details
| NPI number | 1871220327 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | August 4, 2022 |
| Last updated in NPPES | December 31, 2024 |
| Certification date | December 31, 2024 |
| Mailing address | Po Box 299, Portales, NM 88130-0299 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Roosevelt County Special Hospital District — 37 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |