Irene Marie Chavez
Individual provider Active NPI Case Manager/Care Coordinator · Espanola, NM
NPI 1619622610 · NPPES record last updated Feb 17, 2022
Key facts
- NPI
- 1619622610
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 2010 Industrial Park Rd
Espanola, NM 87532-3600 - Phone
- (505) 753-3143
- NPI assigned
- Feb 17, 2022
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | NM | Yes |
Addresses
Primary practice location
2010 Industrial Park Rd
Espanola, NM 87532-3600
Mailing address
2010 Industrial Park Rd
Espanola, NM 87532-3600
Phone (505) 753-3143
Other providers in Espanola, NM
- Ashley Cde Baca
- CH Specialty Services NM LLC
- Kevin Chun Hui Chang
- Rena Chavarria
- Edward Zeke Chavez
- Rebecca Chavez
- Stephanie Chavez
- Teresa Chavez
- Victoria D Chavez
- Cynthia Lena Chila
All providers in Espanola, 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 Feb 17, 2022. 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.