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NPI Code Detail

MEDICARE: RITA MAGDALENE PACHECO-GONZALES MD

MEDICARE: RITA MAGDALENE PACHECO-GONZALES MD
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
12084P0800XPsychiatry Physician95-124NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679631857
Entity Type Code : Individual
Provider Name (Legal Business Name) : RITA MAGDALENE PACHECO-GONZALES MD
Provider Business Mailing Address
First Line : 1320 S SOLANO DR
Second Line :
City : LAS CRUCES
State : NM
Zip : 88001-3758
Country : US
Telephone Number : 575-522-4004
Fax Number : 575-522-9017
Provider Business Practice Location Address
First Line : 1320 S SOLANO DR
Second Line :
City : LAS CRUCES
State : NM
Zip : 88001-3758
Country : US
Telephone Number : 575-522-4004
Fax Number : 575-522-9017
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2006
Last Update Date : 03/25/2025

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