Manuel Ceniceros Jr.
Individual provider Active NPI Case Manager/Care Coordinator · Anthony, NM
NPI 1417378936 · NPPES record last updated Oct 16, 2015
Key facts
- NPI
- 1417378936
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 482 Tierra de Suenos
Anthony, NM 88021-8251 - Phone
- (915) 886-8269
- Fax
- (575) 524-4266
- NPI assigned
- Dec 31, 2013
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
482 Tierra de Suenos
Anthony, NM 88021-8251
Mailing address
385 Calle de Alegra Ste a
Las Cruces, NM 88005-3423
Phone (575) 526-1105
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 74481 | Medicaid | NM |
Other providers in Anthony, NM
- Casa Blanca, LLC
- Sarai Castrejon
- Desiree Nicole Ceballos
- Laura Ceniceros
- Lizaeth Ceniceros
- Oscar Ceniceros
- Cesar Cevallos
- Silvia Marie Chavez Baray
- Corinna Cienfuegos
- Dolores M Cisneros
All providers in Anthony, NM · Case Manager/Care Coordinator in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2015. 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.