Healthcare Provider Details

I. General information

NPI: 1780592576
Provider Name (Legal Business Name): NOVEL PARAISO ESTEVEZ MARTINEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 N LINAM ST
HOBBS NM
88240-6037
US

IV. Provider business mailing address

1300 N PATE ST APT 139C
CARLSBAD NM
88220-3528
US

V. Phone/Fax

Practice location:
  • Phone: 575-392-0802
  • Fax:
Mailing address:
  • Phone: 575-499-6355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License NumberG-2166
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: