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NPI Code Detail

MEDICARE: DR. ANDREA MAUREEN IGNACIO D.C.

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
1111N00000XChiropractorDC2285NM

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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