Healthcare Provider Details

I. General information

NPI: 1649469271
Provider Name (Legal Business Name): AZTEC MUNICIPAL SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2007
Last Update Date: 03/19/2024
Certification Date: 03/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1118 W AZTEC BLVD
AZTEC NM
87410-1818
US

IV. Provider business mailing address

1118 W AZTEC BLVD
AZTEC NM
87410-1818
US

V. Phone/Fax

Practice location:
  • Phone: 505-334-3695
  • Fax: 505-599-4388
Mailing address:
  • Phone: 505-334-3695
  • Fax: 505-599-4388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number01508642009
License Number StateNM

VIII. Authorized Official

Name: MR. AMBER CURRIER
Title or Position: DIRECTOR EXCEPTIONAL PROGRAMS
Credential:
Phone: 505-334-3695