Luis David Penaloza Vargas
Individual provider Active NPI Taxi · Albuquerque, NM
NPI 1053107409 · NPPES record last updated Apr 15, 2025
Key facts
- NPI
- 1053107409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Taxi 344600000X
- Practice address
- 218 Cagua Dr NE Apt E
Albuquerque, NM 87108 - Phone
- (505) 705-0788
- NPI assigned
- Apr 15, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Taxi | 344600000X | Yes |
Addresses
Primary practice location
218 Cagua Dr NE Apt E
Albuquerque, NM 87108
Mailing address
218 Cagua Dr NE Apt E
Albuquerque, NM 87108
Phone (505) 705-0788
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.