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General NPI Number Information
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NPI Number | 1497384051
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Entity Type | Individual
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Provider Name | ANDRES DIOCARES MD
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Gender | Male
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Dates
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Enumeration Date | 04/06/2020
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 800 E 9TH AVE
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City | TRUTH OR CONSEQUENCES
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State | NM
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Zip | 87901-1954
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Country | US
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Telephone | 575-894-3221
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Fax |
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Provider Business Mailing Address
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Address Line | 800 E 9TH AVE
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City | TRUTH OR CONSEQUENCES
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State | NM
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Zip | 87901-1954
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD2024-0783
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | V1071
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License Number State | TX
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