Healthcare Provider Details

I. General information

NPI: 1619675436
Provider Name (Legal Business Name): ABELINA TRINIDAD SALAZAR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2023
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 RIO RANCHO BLVD NE STE 301
RIO RANCHO NM
87124-1456
US

IV. Provider business mailing address

4101 CORRALES RD UNIT 1616
CORRALES NM
87048-4065
US

V. Phone/Fax

Practice location:
  • Phone: 505-333-8043
  • Fax:
Mailing address:
  • Phone: 505-333-8043
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSWB-2026-0524
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: