Bianca Valdez, RDH
Individual provider Active NPI Dental Hygienist · Mora, NM
NPI 1245060243 · NPPES record last updated Aug 5, 2024
Key facts
- NPI
- 1245060243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- DB-2024-0150 (NM)
- Practice address
- 3 Mora Valley Clinic Rd
Mora, NM 87732-2202 - Phone
- (575) 387-2481
- NPI assigned
- Aug 5, 2024
- Sex
- Female
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DB-2024-0150 | NM | MD | Dental Hygienist |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DFDHAA/Endpoint/DFDHAA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DB-2024-0150 | NM | Yes |
Addresses
Primary practice location
3 Mora Valley Clinic Rd
Mora, NM 87732-2202
Mailing address
PO Box 64
Mora, NM 87732-0064
Phone (505) 617-6544
Other names
- Bianca Martinez
Other providers in Mora, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2024. 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.