MEDICARE: MR. ANASTACIO R VALVERDE CHT-MSH, PARAMEDIC

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	171400000X	Health & Wellness Coach		NM
2	146L00000X	Paramedic	09000857	NM

General Provider Information

NPI Number	:	1477481356
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ANASTACIO R VALVERDE CHT-MSH, PARAMEDIC

Provider Business Mailing Address
First Line	:	8509 GROUNDSEL RD NW
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87120-4240
Country	:	US
Telephone Number	:	505-362-0110
Fax Number	:

Provider Business Practice Location Address
First Line	:	8509 GROUNDSEL RD NW
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87120-4240
Country	:	US
Telephone Number	:	505-362-0110
Fax Number	:

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

Provider Enumeration Date	:	05/12/2026
Last Update Date	:	05/12/2026

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Directions to “ MR. ANASTACIO R VALVERDE CHT-MSH, PARAMEDIC” Practice Location

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