MR. JIMMY MAGGAY CALZADO


Address: 1350 Jackie Rd Se, Suite 104, Rio Rancho, NM 87124-1519
Phone: 5055153982

MR. JIMMY MAGGAY CALZADO (NPI# 1003162736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003162736
Entity Type Individual
Full Name MR. JIMMY MAGGAY CALZADO
Credential CNP
Practice Address 1350 Jackie Rd Se
Suite 104
Rio Rancho
NM 87124-1519
Practice Telephone 5055153982
Practice Fax Number 5057926060
Mailing Telephone 5055153982
Mailing Fax Number 5057926060
Enumeration Date 2012-07-31
Last Update Date 2016-10-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
CNP-01999 NM Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NM 08453781 05

Office Location

Street Address 1350 JACKIE RD SE
SUITE 104
City RIO RANCHO
State NM
Zip Code 87124-1519

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790894731 Amy Bonnett Acupuncturist 1350 Jackie Rd Se, #102, Rio Rancho, NM 87124-1519 2006-08-30
1902237472 Chester Dickerson Acupuncturist 1350 Jackie Rd Se, Suite 102, Rio Rancho, NM 87124-1519 2013-12-09
1548508971 Sandra M Crum Dietitian, Registered 1350 Jackie Rd Se, Suite 104, Rio Rancho, NM 87124-1519 2013-01-18
1437446374 Helen V. Fragua Physician Assistant 1350 Jackie Rd Se, Suite 101, Rio Rancho, NM 87124-1519 2011-06-29

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417573338 Awareness Integration LLC Nurse Practitioner 2101 Golf Course Rd Se Ste D, Rio Rancho, NM 87124-1760 2020-06-17
1427572577 Mario Alberto Gutierrez Nurse Practitioner 1350 Jacke St. Se, Suite 104, Rio Rancho, NM 87124 2017-07-31
1659800894 Integrated Healthcare Nurse Practitioner 4101 Barbara Loop Se Ste C, Rio Rancho, NM 87124-1011 2017-06-10
1124665237 Denis Mbueha Muebake Nurse Practitioner 2300 Grande Blvd Se, Rio Rancho, NM 87124-1755 2019-12-09
1336648328 Desiree Renee Provencio Nurse Practitioner 184 Unser Blvd Ne, Rio Rancho, NM 87124-4045 2018-02-06
1073908281 Jacqueline Eva Willis Nurse Practitioner 4101 Barbara Loop Se, Suite D, Rio Rancho, NM 87124-1009 2015-04-03
1093114290 Kimberley Durr Nurse Practitioner 2300 Grande Blvd Se, Rio Rancho, NM 87124-1755 2014-08-14

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1619516358 Permian Basin Brain Works Inc Nurse Practitioner 1601 N Turner St Ste 405, Hobbs, NM 88240-4331 2019-12-28
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Competitor

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City RIO RANCHO
Zip Code 87124

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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