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NPI Code Detail

MEDICARE: HEAVEN TAPIA

MEDICARE: HEAVEN TAPIA
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
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1891651550
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEAVEN TAPIA
Provider Business Mailing Address
First Line : 3301 CANDELARIA RD NE STE B
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87107-1965
Country : US
Telephone Number : 505-273-6300
Fax Number :
Provider Business Practice Location Address
First Line : 3301 CANDELARIA RD NE STE B
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87107-1965
Country : US
Telephone Number : 505-273-6300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2025
Last Update Date : 12/26/2025

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Directions to “ HEAVEN TAPIA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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