1043651359 NPI number — MAGDALENA ZUBIA-CANDIA

Table of content: MAGDALENA ZUBIA-CANDIA (NPI 1043651359)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043651359 NPI number — MAGDALENA ZUBIA-CANDIA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ZUBIA-CANDIA
Provider First Name:
MAGDALENA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1043651359
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/16/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
385 CALLE DE ALEGRA STE A
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAS CRUCES
Provider Business Mailing Address State Name:
NM
Provider Business Mailing Address Postal Code:
88005-3423
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
575-526-1105
Provider Business Mailing Address Fax Number:
575-524-4266

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4089 EL CAMINO REAL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAS CRUCES
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
88007-7304
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
575-496-4224
Provider Business Practice Location Address Fax Number:
575-524-4266
Provider Enumeration Date:
07/15/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 171M00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 74481 , issued by the state of ( NM ) . This identifiers is of the category "MEDICAID".




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