Active NPI
Daniel Suazo
- Community Health Worker
- Tijeras, NM
National Provider Identifier
1720923295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 2039
- Practice address
- 1 Camino Oro CT
Tijeras, NM 87059-7924 - Phone
- (505) 259-2029
- NPI assigned
- Apr 21, 2026
- Last updated
- Apr 21, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 2039 | NM | Primary |
Addresses
Primary practice location
1 Camino Oro CT
Tijeras, NM 87059-7924
Mailing address
1 Camino Oro CT
Tijeras, NM 87059-7924
Phone (505) 259-2029
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2039 | NM | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1720923295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CAMINO ORO CT",
"city": "TIJERAS",
"state": "NM",
"postal_code": "870597924",
"telephone_number": "505-259-2029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CAMINO ORO CT",
"city": "TIJERAS",
"state": "NM",
"postal_code": "870597924",
"telephone_number": "505-259-2029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUAZO",
"first_name": "DANIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-04-21",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NM",
"license": "2039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tijeras, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.