Healthcare Provider Details

I. General information

NPI: 1477250405
Provider Name (Legal Business Name): LISA M CHAVEZ CPSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LISA MARIE ORTEGA

II. Dates (important events)

Enumeration Date: 02/09/2023
Last Update Date: 02/13/2026
Certification Date: 02/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 UNSER BLVD SE STE C
RIO RANCHO NM
87124-6300
US

IV. Provider business mailing address

12 UNSER BLVD SE STE C
RIO RANCHO NM
87124-6300
US

V. Phone/Fax

Practice location:
  • Phone: 505-636-6100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number1994
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: