JORGE EDUARDO TARANGO (NPI# 1144646605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144646605 |
| Entity Type | Individual |
| Full Name | JORGE EDUARDO TARANGO |
| Credential | MSW |
| Practice Address |
119 Luna Avenue Los Lunas NM 87031 |
| Mailing Address |
843 Monte Vista Dr. Ne Los Lunas NM 87031 |
| Practice Telephone | 5058659636 |
| Mailing Telephone | (505) 639-2543 |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 1041S0200X |
Social Worker Specialization: School |
Behavioral Health & Social Service Providers | ||
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 750 Morris Rd Se, Los Lunas, NM 870315242 | 5058662318 |
| Street Address |
119 LUNA AVENUE |
| City | LOS LUNAS |
| State | NM |
| Zip Code | 87031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336297803 | Edward Howard Dapo IIi | Social Worker | 119 Luna Avenue, Los Lunas, NM 87031 | 2007-01-08 |
| 1043853591 | Francine Marie Gallegos | Physical Therapy Assistant | 119 Luna Avenue, Los Lunas, NM 87031 | 2019-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407466212 | Juanita Arcelia Flores-hull | Registered Nurse | 19670 Highway 314, Belen, NM 87031 | 2020-08-06 |
| 1184267171 | Nicole Andrea Bassett | Registered Nurse | 236 Don Pasqual Rd, Los Lunas, NM 87031 | 2019-10-22 |
| 1922649359 | Darrel Thompson | Physical Therapist | 2211 Main St, Ne, Los Lunas, NM 87031 | 2019-10-07 |
| 1407415235 | Brittany Leigh Dow | Family Medicine | 328 Main St Sw, Los Lunas, NM 87031 | 2019-06-05 |
| 1942764162 | Christine Beevers | Occupational Therapy Assistant | 310 Bonita Vista Blvd, Los Lunas, NM 87031 | 2019-01-23 |
| 1669953105 | Patricia A Ziehl | Occupational Therapy Assistant | 119 Luna Ave., Los Lunas, NM 87031 | 2018-08-23 |
| 1922500776 | Mellisa Marie Everett | Massage Therapist | 3414 Nm- 47, Los Lunas, NM 87031 | 2018-03-07 |
| 1831699917 | Nachelle Lynn Pell | Registered Nurse | 310 Bonita Vista, Los Lunas, NM 87031 | 2018-02-15 |
| 1053829135 | Valencia Denise Jackson | Registered Nurse | 46 Chacon Rd., Los Lunas, NM 87031 | 2018-01-11 |
| 1548777972 | Aja Santana Armijo | Speech-Language Pathologist | 46 Chacon Blvd., Los Lunas, NM 87031 | 2018-01-08 |
| Find all providers in zip 87031 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306197165 | Alicia J Sedillo | Social Worker | 3500 Lone Tree St Sw, Los Lunas, NM 87031-6288 | 2012-09-19 |
| 1497938435 | Aminta T. Sandoval | Social Worker | 32 Sun Valley Rd, Los Lunas, NM 87031-1300 | 2007-12-13 |
| 1417005901 | Veronica R Trujillo | Social Worker | 423 Main St., Los Lunas, NM 87031 | 2007-01-08 |
| 1336297803 | Edward Howard Dapo IIi | Social Worker | 119 Luna Avenue, Los Lunas, NM 87031 | 2007-01-08 |
| 1851903009 | Sanae Nicole Gaerlan | Social Worker | 343 Main St Nw, Los Lunas, NM 87031-8712 | 2020-08-19 |
| 1275144560 | Erin Sandoval | Social Worker | 343 Main St Nw, Los Lunas, NM 87031-8712 | 2020-08-11 |
| 1306491485 | Shaylyn Padilla | Social Worker | 1776 Emilio Lopez Rd Nw, Los Lunas, NM 87031-7082 | 2019-08-06 |
| 1124554084 | Kelli Allen | Social Worker | 735 Don Pasqual Rd Nw, Los Lunas, NM 87031-8493 | 2017-05-11 |
| 1760889885 | Carla Lovato | Social Worker | 343 Main St Nw, Los Lunas, NM 87031-8712 | 2014-12-04 |
| 1699823153 | Pete M Candelaria | Social Worker | 343 Main St Nw, Los Lunas, NM 87031-8712 | 2007-01-08 |
| Find all providers in LOS LUNAS | ||||
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| 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.