Healthcare Provider Details

I. General information

NPI: 1285583781
Provider Name (Legal Business Name): AARON MATTHEW GARCIA CHW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/27/2026
Last Update Date: 01/27/2026
Certification Date: 01/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 CAMINO JUSTICIA
SANTA FE NM
87508-8500
US

IV. Provider business mailing address

28 CAMINO JUSTICIA
SANTA FE NM
87508-8500
US

V. Phone/Fax

Practice location:
  • Phone: 505-428-3855
  • Fax:
Mailing address:
  • Phone: 505-428-3855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License NumberG-1909
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: