Madrid, Mario

Madrid, Mario is an individual health care provider with primary practice located at 413 Sipapu St , Taos NM 87571-6489. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Madrid, Mario can be contacted via phone (575) 758-5857.

Contact Information

Primary practice address
413 Sipapu St Taos NM 87571-6489
Fax: (575) 758-5860
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1366711806
LBN Legal business name Madrid, Mario
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2011
Last updated Dec 28th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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