MEDICARE: VIKTORIA AIVALIOTIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator		NM

General Provider Information

NPI Number	:	1013709112
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIKTORIA AIVALIOTIS

Provider Business Mailing Address
First Line	:	2301 YALE BLVD SE STE F
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87106-4354
Country	:	US
Telephone Number	:	505-925-4044
Fax Number	:

Provider Business Practice Location Address
First Line	:	2301 YALE BLVD SE STE F
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87106-4354
Country	:	US
Telephone Number	:	505-925-4044
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2025
Last Update Date	:	12/09/2025

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Directions to “ VIKTORIA AIVALIOTIS ” Practice Location

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