Gabrielle Julia Atencio, DC
Individual provider Active NPI Chiropractor · Aztec, NM
NPI 1093312779 · NPPES record last updated Feb 13, 2025
Key facts
- NPI
- 1093312779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC-2024-0012 (NM)
- Practice address
- 318 E Chuska St
Aztec, NM 87410-2115 - Phone
- (505) 419-4868
- NPI assigned
- Oct 5, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
318 E Chuska St
Aztec, NM 87410-2115
Phone (505) 334-3633
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250319000549 | NM | Practitioner - Chiropractic | 5597287631 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aztec Chiropractic Center, P.C. | Chiropractor | Current |
Accepting new patients |
| Aztec Chiropractic Center | Chiropractor | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Student in an Organized Health Care Education/Training Program |
390200000X | |||
| Chiropractor | 111N00000X | DC-2024-0012 | NM | Yes |
Addresses
Primary practice location
318 E Chuska St
Aztec, NM 87410-2115
Mailing address
318 E Chuska St
Aztec, NM 87410-2115
Phone (505) 334-3633
Other providers in Aztec, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.