Tomas Tanuz, CHW

Individual provider Active NPI Community Health Worker · Pecos, NM

NPI 1962375170 · NPPES record last updated Sep 24, 2025

Key facts

NPI
1962375170
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
License
G-1782 (NM)
Practice address
28 Panther Parkway N Highway 63
Pecos, NM 87552
Phone
(505) 622-3100
Fax
(877) 553-1272
NPI assigned
Sep 24, 2025
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

State licenses

LicenseStateTypeSpecialty
G-1782NMMDCommunity Health Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X G-1782 NM Yes

Addresses

Primary practice location

28 Panther Parkway N Highway 63
Pecos, NM 87552

Mailing address

117 Camino de Vida Ste 300
Santa Rosa, NM 88435-2267
Phone (575) 472-4311

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address jessica.sanchez@sunrisenm.org Direct Sunrise Clinics

Other providers in Pecos, NM

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

Sources for this page

Verify at the official NPI Registry.