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NPI Code Detail

MEDICARE: MERCEDES MOCTEZUMA

MEDICARE: MERCEDES MOCTEZUMA
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
1390200000XStudent in an Organized Health Care Education/Training ProgramCA
2373H00000XDay Training/Habilitation SpecialistCA
3225C00000XRehabilitation Counselor

General Provider Information

NPI Number : 1972141786
Entity Type Code : Individual
Provider Name (Legal Business Name) : MERCEDES MOCTEZUMA
Provider Business Mailing Address
First Line : 202 N 8TH ST
Second Line :
City : EL CENTRO
State : CA
Zip : 92243-2302
Country : US
Telephone Number : 442-265-1525
Fax Number :
Provider Business Practice Location Address
First Line : 202 N 8TH ST
Second Line :
City : EL CENTRO
State : CA
Zip : 92243-2302
Country : US
Telephone Number : 442-265-1525
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2019
Last Update Date : 12/16/2025

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Directions to “ MERCEDES MOCTEZUMA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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