| Organization Name: | FSP HEALTH MINISTRIES |
| NPI Number: | 1699904334 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RUDY VALENZUELA (CEO/PRESIDENT) |
| Mailing Address: | 1914 E. Juan Sanchez Blvd Suite 2 San Luis |
| State: | AZ US |
| Postal Code: | 85349 |
| Phone Number: | 9286272055 |
| Fax Number: | 9286272456 |
| NPI Enumeration Date: | 07/02/2009 |
| NPI Last Update Date: | 07/02/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |