Healthcare Provider Details

I. General information

NPI: 1033515846
Provider Name (Legal Business Name): FELICIA ELENA ARAGON PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2014
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 SANDOVAL RD SW
LOS LUNAS NM
87031
US

IV. Provider business mailing address

PO BOX 27561 DEPT#31116
ALBUQUERQUE NM
87125-7561
US

V. Phone/Fax

Practice location:
  • Phone: 505-865-3373
  • Fax: 505-865-2078
Mailing address:
  • Phone: 505-224-8740
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA2014-0039
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: