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NPI Code Detail

MEDICARE: AURA LEE AVENIDO MOTUS M.D.

MEDICARE:   AURA LEE AVENIDO MOTUS  M.D.
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
12084P0804XChild & Adolescent Psychiatry Physician823-LNM
22084P0800XPsychiatry Physician823-LMS

General Provider Information

NPI Number : 1336422500
Entity Type Code : Individual
Provider Name (Legal Business Name) : AURA LEE AVENIDO MOTUS M.D.
Provider Business Mailing Address
First Line : 933 BRADBURY DR SE STE 2222
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87106-4375
Country : US
Telephone Number : 505-272-3120
Fax Number : 505-272-8060
Provider Business Practice Location Address
First Line : 1120 N 5TH AVE
Second Line :
City : TUCSON
State : AZ
Zip : 85705-7408
Country : US
Telephone Number : 520-881-1292
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2011
Last Update Date : 06/09/2020

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Directions to “ AURA LEE AVENIDO MOTUS M.D.” Practice Location

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