Adelaido Lopes Garcia

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

G-1247 Issued in NM

Practice address

13 Jemez St
Santo Domingo Pueblo, NM 87052-1241

Phone

(505) 239-1643

NPI assigned

Jan 31, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1821801945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 542",
            "city": "SANTO DOMINGO PUEBLO",
            "state": "NM",
            "postal_code": "870520542",
            "telephone_number": "505-239-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 JEMEZ ST",
            "city": "SANTO DOMINGO PUEBLO",
            "state": "NM",
            "postal_code": "870521241",
            "telephone_number": "505-239-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "ADELAIDO",
        "middle_name": "LOPES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NM",
            "license": "G-1247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dialysis Clinic Inc.
• Rosa Maria Edmunds, PHARMD
• Seraphine J. Elam, R.N.
• Sarah Lauren Friedberg, M.D.
• Adam Garcia
• Avadana Garcia
• Christina J Garcia
• Kandyce Garcia
• Mercell A Garcia, CHW
• Gaetane Gonzales

• Community Health Worker in Santo Domingo Pueblo, NM
• Providers in Santo Domingo Pueblo, NM by specialty
• Community Health Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.