Charlene Yvette Abeyta Vigil
Individual provider Active NPI Specialist · Taos, NM
NPI 1134424880 · NPPES record last updated Jan 11, 2011
Key facts
- NPI
- 1134424880
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 413 Sipapu St
Taos, NM 87571-6489 - Phone
- (575) 758-5857
- Fax
- (575) 758-2832
- NPI assigned
- Jan 11, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-County Community Services, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NM | Yes |
Addresses
Primary practice location
413 Sipapu St
Taos, NM 87571-6489
Mailing address
PO Box 6952
Taos, NM 87571-8094
Phone (575) 758-5857
Other providers in Taos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2011. 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.