Esmeralda Dominguez
Individual provider Active NPI Massage Therapist · Bosque Farms, NM
NPI 1831070903 · NPPES record last updated Sep 8, 2025
Key facts
- NPI
- 1831070903
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MT-2025-0159 (NM)
- Practice address
- 590 Bosque Farms Blvd
Bosque Farms, NM 87068-9645 - Phone
- (505) 869-9283
- NPI assigned
- Sep 8, 2025
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT-2025-0159 | NM | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT-2025-0159 | NM | Yes |
Addresses
Primary practice location
590 Bosque Farms Blvd
Bosque Farms, NM 87068-9645
Mailing address
590 Bosque Farms Blvd
Bosque Farms, NM 87068-9645
Phone (505) 869-9283
Other providers in Bosque Farms, NM
- Buen Camino Psychiatric & Mental Health Clinic
- Alyssa Marie Chavez-Pierce
- Anthony James Chicarelli
- Ruben Collado
- Claudia G Cruz
- Pamela Fisher
- Lenora E Gerken
- Golden West Acupuncture and Wellness LLC.
- Tanya Gonzales
- James Edwin Gutierrez
All providers in Bosque Farms, NM · Massage Therapist 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 Sep 8, 2025. 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.