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NPI Code Detail

MEDICARE: GABRIELA GASPAR

MEDICARE:   GABRIELA  GASPAR
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
1104100000XSocial WorkerSWB-2023-1353NM
2171M00000XCase Manager/Care CoordinatorNM

General Provider Information

NPI Number : 1780302422
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIELA GASPAR
Provider Business Mailing Address
First Line : 901 RIO GRANDE BLVD NW BLDG G
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87104-2057
Country : US
Telephone Number : 505-702-8112
Fax Number :
Provider Business Practice Location Address
First Line : 901 RIO GRANDE BLVD NW BLDG G
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87104-2057
Country : US
Telephone Number : 505-702-8112
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2022
Last Update Date : 03/12/2024

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Directions to “ GABRIELA GASPAR ” Practice Location

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