Dolores Antonio
Individual provider Active NPI Community Health Worker · Hatch, NM
NPI 1841663341 · NPPES record last updated Nov 5, 2015
Key facts
- NPI
- 1841663341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 255 Highway 187
Hatch, NM 87937-0370 - Phone
- (575) 267-3088
- Fax
- (575) 267-4565
- NPI assigned
- Nov 5, 2015
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
255 Highway 187
Hatch, NM 87937-0370
Mailing address
PO Box 370
Hatch, NM 87937-0370
Phone (575) 267-3280
Other providers in Hatch, NM
All providers in Hatch, NM · Community Health Worker 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 Nov 5, 2015. 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.