MEDICARE: FELICIA ELENA ARAGON PA-C

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	363AM0700X	Medical Physician Assistant	PA2014-0039	NM

General Provider Information

NPI Number	:	1033515846
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FELICIA ELENA ARAGON PA-C

Provider Business Mailing Address
First Line	:	PO BOX 27561 DEPT#31116
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87125-7561
Country	:	US
Telephone Number	:	505-224-8740
Fax Number	:

Provider Business Practice Location Address
First Line	:	127 SANDOVAL RD SW
Second Line	:
City	:	LOS LUNAS
State	:	NM
Zip	:	87031
Country	:	US
Telephone Number	:	505-865-3373
Fax Number	:	505-865-2078

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

Provider Enumeration Date	:	11/06/2014
Last Update Date	:	03/06/2026

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