Healthcare Provider Details

I. General information

NPI: 1588305825
Provider Name (Legal Business Name): VIRIDIANA SAENZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2022
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MSC09 5040 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE NM
87131-7101
US

IV. Provider business mailing address

805 MORNINGSIDE PL SE
ALBUQUERQUE NM
87108-3358
US

V. Phone/Fax

Practice location:
  • Phone: 505-272-6607
  • Fax: 505-272-8045
Mailing address:
  • Phone: 915-248-7246
  • Fax: 505-272-8045

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberMD2025-0258
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: