Teresa Marroquin-Elizondo, RD LD CDE

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

269 Issued in NM

Practice address

5400 Gibson Blvd SE
Albuquerque, NM 87108

Phone

(505) 232-1920

Fax

(505) 727-9276

NPI assigned

Jul 8, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Maria-Teresita De Jesus Marroquin-de Elizondo Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Optumcare Endoscopy Center New Mexico, LLC

  dba DaVita Medical Endoscopy

  • Ambulatory Surgical Clinic/Center
  • Albuquerque, NM
  • NPI 1962685834
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457384018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27829",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87125",
            "telephone_number": "505-232-1920",
            "fax_number": "505-727-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 GIBSON BLVD SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87108",
            "telephone_number": "505-232-1920",
            "fax_number": "505-727-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARROQUIN-ELIZONDO",
        "first_name": "TERESA",
        "credential": "RD  LD  CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "NM",
            "license": "269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA-TERESITA",
            "last_name": "MARROQUIN-DE ELIZONDO",
            "middle_name": "DE JESUS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Francenia Marrero, SLP
• Laura M Marrero, MA, LMHC
• Marrich Chiropractic Inc
• Lawrence E Marrich, DC07191951
• Sarah Marrich, MSOT, OTR/L
• Lupe Marroquin, SW
• Alesha M Marrow
• Andrea Marrufo
• Sadie D. Marrufo, MA., LPCC
• Sofia E Marrufo

• Diabetes Educator Registered Nurse in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Diabetes Educator Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.