Sixto Aguirre

Individual provider Active NPI Community Health Worker · Espanola, NM

NPI 1871194050 · NPPES record last updated Nov 4, 2020

Key facts

NPI
1871194050
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
2010 Industrial Park Rd
Espanola, NM 87532-3600
Phone
(505) 753-3143
Fax
(505) 753-1769
NPI assigned
Nov 4, 2020
Sex
Male
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)CodeLicenseStatePrimary
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

2010 Industrial Park Rd
Espanola, NM 87532-3600

Mailing address

1122 Industrial Park Rd
Espanola, NM 87532-3453
Phone (505) 753-3143

Other providers in Espanola, NM

All providers in Espanola, NM · Community Health Worker in New Mexico

Sources for this page

Verify at the official NPI Registry.