Healthcare Provider Details

I. General information

NPI: 1679486203
Provider Name (Legal Business Name): ABUNDANCIA CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 UNIT 32 LOOP
VEGUITA NM
87062
US

IV. Provider business mailing address

PO BOX 585
VEGUITA NM
87062-0585
US

V. Phone/Fax

Practice location:
  • Phone: 575-842-9390
  • Fax:
Mailing address:
  • Phone: 575-842-9390
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State

VIII. Authorized Official

Name: LIZANDRA RODRIGUEZ
Title or Position: OWNER
Credential:
Phone: 575-842-9390