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NPI Code Detail

MEDICARE: MARIA MONTOYA

MEDICARE: MARIA MONTOYA
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
11041C0700XClinical Social Worker
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1073378816
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA MONTOYA
Provider Business Mailing Address
First Line : 1 CAMINO DE RAMON
Second Line :
City : PENASCO
State : NM
Zip : 87553-5002
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 105 BERTHA RD STE B
Second Line :
City : TAOS
State : NM
Zip : 87571-7148
Country : US
Telephone Number : 575-758-4297
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2024
Last Update Date : 06/04/2026

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Directions to “ MARIA MONTOYA ” Practice Location

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