Active NPI
Eva Christina Pacheco, MD
- Physical Medicine & Rehabilitation Physician
- Corrales, NM
National Provider Identifier
1700852993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 94-116
- Practice address
- 2469 Corrales Rd Ste D
Corrales, NM 87048-9148 - Phone
- (505) 897-4433
- Fax
- (505) 345-9914
- NPI assigned
- Feb 27, 2006
- Last updated
- May 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 94-116 | NM | Primary |
Addresses
Primary practice location
2469 Corrales Rd Ste D
Corrales, NM 87048-9148
Mailing address
2469 Corrales Road NW
BLDG a Ste D
Corrales, NM 87048
Phone (505) 897-2291
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13513 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94-116 | NM | MD | Physical Medicine & Rehabilitation Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Medicine & Rehabilitation Physician
- Corrales, NM
- NPI 1528573995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715731200000",
"number": "1700852993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2469 CORRALES ROAD NW",
"address_2": "BLDG A STE D",
"city": "CORRALES",
"state": "NM",
"postal_code": "87048",
"telephone_number": "505-897-2291",
"fax_number": "505-897-3085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2469 CORRALES RD STE D",
"city": "CORRALES",
"state": "NM",
"postal_code": "870489148",
"telephone_number": "505-897-4433",
"fax_number": "505-345-9914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACHECO",
"first_name": "EVA",
"middle_name": "CHRISTINA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-27",
"last_updated": "2024-05-15",
"certification_date": "2024-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NM",
"license": "94-116",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "13513",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corrales, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.