Healthcare Provider Details

I. General information

NPI: 1043140189
Provider Name (Legal Business Name): TWILA NARANJO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 HOSPITAL LOOP NE
ALBUQUERQUE NM
87109-2115
US

IV. Provider business mailing address

2800 N DUSTIN AVE APT 400
FARMINGTON NM
87401-2143
US

V. Phone/Fax

Practice location:
  • Phone: 505-348-8300
  • Fax:
Mailing address:
  • Phone: 575-419-0825
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberPT-2023-2068
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: