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NPI Code Detail

MEDICARE: RACHEAL FLORES GONZALES LMSW

MEDICARE: RACHEAL FLORES GONZALES LMSW
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
11041S0200XSchool Social Worker295279NM
21041S0200XSchool Social WorkerC-08851NM

General Provider Information

NPI Number : 1992850325
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEAL FLORES GONZALES LMSW
Provider Business Mailing Address
First Line : 213 2ND ST NE
Second Line :
City : RIO RANCHO
State : NM
Zip : 87124-0726
Country : US
Telephone Number : 505-892-2575
Fax Number :
Provider Business Practice Location Address
First Line : 500 LASER DR NE
Second Line :
City : RIO RANCHO
State : NM
Zip : 87124-4517
Country : US
Telephone Number : 505-892-2575
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2007
Last Update Date : 05/06/2024

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Directions to “ RACHEAL FLORES GONZALES LMSW” Practice Location

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