DONOVAN LUCERO


Address: 7 Rio San Jose Dr, Laguna, NM 87026
Phone: 5055526513

DONOVAN LUCERO (NPI# 1467094029) 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) 1467094029
Entity Type Individual
Full Name DONOVAN LUCERO
Practice Address 7 Rio San Jose Dr
Laguna
NM 87026
Practice Telephone 5055526513
Mailing Telephone 5055526513
Enumeration Date 2019-10-15
Last Update Date 2019-10-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NM 125433189 05

Office Location

Street Address 7 RIO SAN JOSE DR
City LAGUNA
State NM
Zip Code 87026

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841833589 Davina M Segay Prevention Professional 7 Rio San Jose St, Laguna, NM 87026 2019-10-25
1316589534 Kenneth Thomas Counselor 7 Rio San Jose, Laguna, NM 87026 2019-10-09
1528586435 Romilly Ortiz Physician Assistant 129 Medicine Horse Dr, Canoncito, NM 87026 2017-08-31
1174071534 Laguna Early Childhood Program Early Intervention Provider Agency I40 W 114 Bldg 1125, Laguna, NM 87026 2016-09-14
1629525605 Canoncito Band of Navajos Health Center, Inc Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 129 Medicine Horse Road, Canoncito, NM 87026 2016-09-07
1144535337 Lisa Marie King Counselor 86 Medicine Horse Dr., 86 Medicine Horse Dr., Canoncito, NM 87026 2010-08-11
1619151651 Rosi Aragon Counselor Tbhs Building, I-40, 26 Mi. W. of Abq, Exit 131, 3 Mi. N., To'hajiilee, NM 87026 2007-12-27
1538343579 Canoncito Band of Navajo Health Center, Inc Community/Behavioral Health 96 Medicine Horse Dr., To'hajiilee, NM 87026 2007-12-27
1992999296 Ruth Lynne Kelly Social Worker I40 W Exit 131 Highway 56 N, Acl Teen Centers To'hajiilee Community School, To'hajiilee, NM 87026 2007-08-29
1194941823 Mary Frances Sarracino Social Worker Exit 114, Us Route 66, Laguna, NM 87026 2007-04-18
Find all providers in zip 87026

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558904102 Christina Martinez Peer Specialist 7 Rio San Jose, Laguna, NM 87026 2019-10-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1891306049 Sherri Rhoten Peer Specialist 5535 Rockhound Rd Se, Deming, NM 88030-8247 2020-08-12
1154942746 Samantha Ashcroft Peer Specialist 2801 Missouri Ave Ste 22, Las Cruces, NM 88011-5062 2020-05-05
1356976674 Amanda Abeyta Peer Specialist 1000 N Paseo De Onate, Espanola, NM 87532-2683 2020-03-06
1164069662 Rachel Pyne Peer Specialist 205 Bertha Rd Ste B, Taos, NM 87571-5188 2019-12-03
1417591116 George Gamon Peer Specialist 224 Anthony Dr Ste B, Anthony, NM 88021-9366 2019-11-05
1558820043 Gabriela C Ochoa Peer Specialist 2801 Missouri Ave Ste 38, Las Cruces, NM 88011-9151 2019-03-14
1053882795 Mateo R Duran Peer Specialist 10519 Trieste Ct Nw, Albuquerque, NM 87114-5187 2018-12-06
1194229278 Michael Townsend Peer Specialist 3 Cedar Rd, Algodones, NM 87001 2018-03-22
1508233594 Jennifer Tenorio Peer Specialist 176 Sunrise Rd, San Felipe Pb, NM 87001-8019 2015-08-26
1295118636 Justine Page Peer Specialist 19 La Mirada, Belen, NM 87002-7334 2015-07-02
Find all providers with the same taxonomy

Competitor

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City LAGUNA
Zip Code 87026

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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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