Lizaeth Ceniceros

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

NPI 1447671961 · NPPES record last updated Oct 16, 2015

Key facts

NPI
1447671961
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) 886-8271
Fax
(575) 524-4266
NPI assigned
Dec 31, 2013
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
74481MedicaidNM

Other providers in Anthony, NM

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

Sources for this page

Verify at the official NPI Registry.