MEDICARE: DR. ANDREA MAUREEN IGNACIO D.C.

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	111N00000X	Chiropractor	DC2285	NM

General Provider Information

NPI Number	:	1902835127
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREA MAUREEN IGNACIO D.C.

Provider Business Mailing Address
First Line	:	PO BOX 1589
Second Line	:
City	:	EL PRADO
State	:	NM
Zip	:	87529-1589
Country	:	US
Telephone Number	:	575-776-1117
Fax Number	:	575-776-1119

Provider Business Practice Location Address
First Line	:	98 STATE HIGHWAY 150
Second Line	:	#7
City	:	EL PRADO
State	:	NM
Zip	:	87529
Country	:	US
Telephone Number	:	575-776-1117
Fax Number	:	575-776-1118

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

Provider Enumeration Date	:	07/01/2006
Last Update Date	:	05/04/2025

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Directions to “ DR. ANDREA MAUREEN IGNACIO D.C.” Practice Location

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