Provider Demographics
NPI:1245193564
Name:MUELA PANDO, PERLA PAMELA (CSW)
Entity type:Individual
Prefix:
First Name:PERLA
Middle Name:PAMELA
Last Name:MUELA PANDO
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 660
Mailing Address - Street 2:
Mailing Address - City:SOCORRO
Mailing Address - State:NM
Mailing Address - Zip Code:87801-0660
Mailing Address - Country:US
Mailing Address - Phone:505-357-4872
Mailing Address - Fax:
Practice Address - Street 1:308 N CALIFORNIA ST
Practice Address - Street 2:
Practice Address - City:SOCORRO
Practice Address - State:NM
Practice Address - Zip Code:87801-4207
Practice Address - Country:US
Practice Address - Phone:575-838-0061
Practice Address - Fax:575-838-0786
Is Sole Proprietor?:No
Enumeration Date:2025-12-04
Last Update Date:2025-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator