Healthcare Provider Details

I. General information

NPI: 1457399347
Provider Name (Legal Business Name): TERESA ARIZAGA-MORALES, M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 03/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3060 HIGHWAY 180 E
SILVER CITY NM
88061-7703
US

IV. Provider business mailing address

3060 HIGHWAY 180 E
SILVER CITY NM
88061-7703
US

V. Phone/Fax

Practice location:
  • Phone: 575-388-2743
  • Fax: 575-388-8885
Mailing address:
  • Phone: 575-388-8274
  • Fax: 575-388-8885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD2005-0067
License Number StateNM

VIII. Authorized Official

Name: ANA T. ARIZAGA-MORALES
Title or Position: OWNER
Credential: MD
Phone: 575-388-2743