MEDICARE: YARITZA YARITH MARQUEZ

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	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1457206393
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YARITZA YARITH MARQUEZ

Provider Business Mailing Address
First Line	:	9251 EAGLE RANCH RD NW APT 312
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87114-6050
Country	:	US
Telephone Number	:	505-830-1871
Fax Number	:

Provider Business Practice Location Address
First Line	:	2612 TEXAS ST NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87110-4684
Country	:	US
Telephone Number	:	505-830-1871
Fax Number	:

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

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

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