Healthcare Provider Details

I. General information

NPI: 1205965456
Provider Name (Legal Business Name): MAGDALENA S ALANIZ-SAIZ MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13A SAN MARCOS LOOP
SANTA FE NM
87508-8627
US

IV. Provider business mailing address

13A SAN MARCOS LOOP
SANTA FE NM
87508-8627
US

V. Phone/Fax

Practice location:
  • Phone: 505-467-1700
  • Fax: 505-474-7862
Mailing address:
  • Phone: 505-467-1700
  • Fax: 505-474-7862

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License NumberM-04897
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: