Guadalupe Salazar

Individual provider Active NPI Case Manager/Care Coordinator · Hatch, NM

NPI 1235556754 · NPPES record last updated Oct 27, 2015

Key facts

NPI
1235556754
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
268 Trujillo St
Hatch, NM 87937
Phone
(575) 520-2741
NPI assigned
Mar 21, 2014
Sex
Male
Sole proprietor
No

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)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

268 Trujillo St
Hatch, NM 87937

Mailing address

385 Calle de Alegra Ste a
Las Cruces, NM 88005-3423
Phone (575) 526-1105

Other identifiers

IdentifierTypeStateIssuer
74481MedicaidNM

Other providers in Hatch, NM

All providers in Hatch, NM · Case Manager/Care Coordinator in New Mexico

Sources for this page

Verify at the official NPI Registry.