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NPI Code Detail

MEDICARE: DANIEL GUARDADO

MEDICARE: DANIEL GUARDADO
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 WorkerSWB-2025-0873NM

General Provider Information

NPI Number : 1376297374
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL GUARDADO
Provider Business Mailing Address
First Line : 4201 CARLISLE BLVD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87107-4808
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 901 RIO GRANDE BLVD NW STE G252
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87104-2050
Country : US
Telephone Number : 505-702-8112
Fax Number : 505-355-2611
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2022
Last Update Date : 12/01/2025

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