| Organization Name: | FSP HEALTH MINISTRIES |
| NPI Number: | 1154546810 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RUDY VALENZUELA (OWNER) |
| Mailing Address: | 1914 Juan Sanchez Blvd Suite 2 San Luis |
| State: | AZ US |
| Postal Code: | 85349 |
| Phone Number: | 9286272055 |
| Fax Number: | 9286272456 |
| NPI Enumeration Date: | 04/16/2007 |
| NPI Last Update Date: | 03/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP1549 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |