Fabiola Atilano

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

NPI 1619865672 · NPPES record last updated Jun 26, 2025

Key facts

NPI
1619865672
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
105 Bertha Rd Ste B
Taos, NM 87571-7148
Phone
(575) 758-4297
NPI assigned
Jun 26, 2025
Sex
Unspecified or another gender identity
Sole proprietor
Yes

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

105 Bertha Rd Ste B
Taos, NM 87571-7148

Mailing address

1626A Weimer Rd
Taos, NM 87571-6273

Other providers in Taos, NM

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

Sources for this page

Verify at the official NPI Registry.