MEDICARE: MICHELE RENEE MONTOYA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	M-07368	NM

General Provider Information

NPI Number	:	1306710215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELE RENEE MONTOYA

Provider Business Mailing Address
First Line	:	2856 SAN ELIZARIO CT
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88007-1971
Country	:	US
Telephone Number	:	575-649-0740
Fax Number	:

Provider Business Practice Location Address
First Line	:	2123 TELSHOR CT
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-8245
Country	:	US
Telephone Number	:	915-315-1844
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2025
Last Update Date	:	10/02/2025

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Directions to “ MICHELE RENEE MONTOYA ” Practice Location

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