Healthcare Provider Details

I. General information

NPI: 1831022722
Provider Name (Legal Business Name): MARSHA VICTORIA CHAVEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: VICTORIA CHAVEZ

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

923 COUNTRY CLUB DR SE APT H
RIO RANCHO NM
87124-2286
US

IV. Provider business mailing address

923 COUNTRY CLUB DR SE APT H
RIO RANCHO NM
87124-2286
US

V. Phone/Fax

Practice location:
  • Phone: 505-710-5694
  • Fax:
Mailing address:
  • Phone: 505-710-5694
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: