Healthcare Provider Details

I. General information

NPI: 1407713183
Provider Name (Legal Business Name): REBECCA JACQUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 GOLD AVE SW STE 102
ALBUQUERQUE NM
87102-3187
US

IV. Provider business mailing address

610 GOLD AVE SW STE 102
ALBUQUERQUE NM
87102-3187
US

V. Phone/Fax

Practice location:
  • Phone: 505-318-5750
  • Fax:
Mailing address:
  • Phone: 505-318-5750
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License NumberCSW
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: