Healthcare Provider Details

I. General information

NPI: 1073463386
Provider Name (Legal Business Name): MARIAS MASSAGE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2026
Last Update Date: 01/28/2026
Certification Date: 01/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 HWY 180
SILVER CITY NM
88061
US

IV. Provider business mailing address

2101 PINON ST
SILVER CITY NM
88061-7734
US

V. Phone/Fax

Practice location:
  • Phone: 575-313-3683
  • Fax:
Mailing address:
  • Phone: 575-313-3683
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: MARIA CARDOZA
Title or Position: MASSAGE THERAPIST
Credential:
Phone: 575-313-3683