MEDICARE: MS. CATERINA DI PALMA DOM

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	171100000X	Acupuncturist	555	NM

General Provider Information

NPI Number	:	1487772489
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CATERINA DI PALMA DOM

Provider Business Mailing Address
First Line	:	1207 N VIRGINIA ST
Second Line	:
City	:	SILVER CITY
State	:	NM
Zip	:	88061-4615
Country	:	US
Telephone Number	:	575-956-6813
Fax Number	:	575-956-6813

Provider Business Practice Location Address
First Line	:	1207 N VIRGINIA ST
Second Line	:
City	:	SILVER CITY
State	:	NM
Zip	:	88061-4615
Country	:	US
Telephone Number	:	575-956-6813
Fax Number	:	575-956-6813

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

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	04/07/2022

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