Mario Madrid
NPI #1366711806 in Taos, New Mexico
Provider Information
- NPI Number
- 1366711806
- Entity Type
- Individual
- Name
- Mario Madrid
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Community Health Worker
- Enumeration Date
- Dec 28, 2011
- Last Updated
- Dec 28, 2011
Practice Location
- Address
- 413 SIPAPU ST
- City
- Taos
- State
- New Mexico
- ZIP Code
- 87571-6489
- Phone
- (575) 758-5857
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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