MEDICARE: JAZMINA RUBY CAVAZOS

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	171R00000X	Interpreter		AZ

General Provider Information

NPI Number	:	1427985043
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAZMINA RUBY CAVAZOS

Provider Business Mailing Address
First Line	:	12810 N PALM ST
Second Line	:
City	:	EL MIRAGE
State	:	AZ
Zip	:	85335-4344
Country	:	US
Telephone Number	:	956-998-8349
Fax Number	:

Provider Business Practice Location Address
First Line	:	12810 N PALM ST
Second Line	:
City	:	EL MIRAGE
State	:	AZ
Zip	:	85335-4344
Country	:	US
Telephone Number	:	956-998-8349
Fax Number	:

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

Provider Enumeration Date	:	05/07/2026
Last Update Date	:	05/07/2026

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Directions to “ JAZMINA RUBY CAVAZOS ” Practice Location

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