RAUL MIGUEL MAZA (NPI# 1578028650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578028650 |
| Entity Type | Individual |
| Full Name | RAUL MIGUEL MAZA |
| Practice Address |
1815 Wells St Las Cruces NM 88003-1304 |
| Mailing Address |
1232 W 18th St Safford AZ 85546-3564 |
| Practice Telephone | 9287927323 |
| Mailing Telephone | 9287927323 |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2019-02-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1815 WELLS ST |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88003-1304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780860049 | Kimberly Herbert | Specialist/Technologist | 1815 Wells St, Las Cruces, NM 88003-1304 | 2008-01-17 |
| 1962969824 | Lorilynn Falin | Specialist/Technologist | 1815 Wells St, Las Cruces, NM 88003-1304 | 2019-02-27 |
| 1306303656 | Faith Aguilar | Specialist/Technologist | 1815 Wells St, Las Cruces, NM 88003-1304 | 2019-02-22 |
| 1952867541 | Caitlin D Madrid | Specialist/Technologist | 1815 Wells St, Las Cruces, NM 88003-1304 | 2019-02-19 |
| 1659837227 | Andres Alfonso Rivera II | Specialist/Technologist | 1815 Wells St, Las Cruces, NM 88003-1304 | 2019-02-19 |
| 1477019040 | Ashley Rae Toclanny | Specialist/Technologist | 1815 Wells St, Las Cruces, NM 88003-1304 | 2019-02-19 |
| 1730645300 | Angelina Harayda | Specialist/Technologist | 1815 Wells St, Las Cruces, NM 88003-1304 | 2019-02-19 |
| 1659836492 | Julie Brianne Jacquez | Specialist/Technologist | 1815 Wells St, Las Cruces, NM 88003-1304 | 2019-02-06 |
| 1083179162 | Kristan Lear-marie Griffin | Specialist/Technologist | 1815 Wells St, Las Cruces, NM 88003-1304 | 2019-02-04 |
| 1871058958 | Baylee Marcee' Dehart | Specialist/Technologist | 1815 Wells St, Las Cruces, NM 88003-1304 | 2019-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245851369 | Amanda Jean Esquibel | Dietitian, Registered | 1780 East University Ave, Las Cruces, NM 88003 | 2020-04-29 |
| 1104455286 | New Mexico State University | Health Educator | 940 College Drive, Las Cruces, NM 88003 | 2020-04-02 |
| 1942847462 | Lucinda Banegas-carreon | Health Educator | 940 College Dr., Corner of Knox and College, Las Cruces, NM 88003 | 2019-12-03 |
| 1154849412 | Yong Woo An | Specialist/Technologist | 1652 Stewart St, Las Cruces, NM 88003 | 2017-09-06 |
| 1093105033 | New Mexico State University | Counselor | 3080 Breland, Ms, Las Cruces, NM 88003 | 2015-01-29 |
| 1225460421 | Marcel Montanez | Counselor | 1220 Stewart Street, O'donnell Hall, Rm 047, Las Cruces, NM 88003 | 2013-07-30 |
| 1417394628 | Eve M Adams | Psychologist | 1220 Stewart St, O'donnell Hall, Rm 205, Las Cruces, NM 88003 | 2013-05-29 |
| 1538276142 | Benjamin G Diven | General Practice | Corner of Stewart and Breland, Student Health Center, Box 30001 Msc 3529, Las Cruces, NM 88003 | 2006-08-23 |
| 1093337586 | Vangaurd Genetics, LLC | Clinical Medical Laboratory | 3655 Research Drive, Msc3arp, Genesis-b, Las Cruces, NM 88003 | 2020-05-07 |
| 1982225017 | Bare Nutrition LLC | Clinic/Center | 1780 E University Ave, Las Cruces, NM 88003 | 2020-04-29 |
| Find all providers in zip 88003 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770136459 | Yangmi Kang | Specialist/Technologist | 825 S Telshor Blvd Apt 59, Las Cruces, NM 88011-4645 | 2019-07-22 |
| 1467917997 | Austin Frazier | Specialist/Technologist | 1181 Mall Dr Ste C, Las Cruces, NM 88011-8105 | 2019-02-08 |
| 1699249037 | Isabel Christina Morales | Specialist/Technologist | 9448 Orion St, Las Cruces, NM 88012-6427 | 2019-01-18 |
| 1962976308 | Victoria Marie Perea | Specialist/Technologist | 4598 Rock Canyon Loop, Las Cruces, NM 88011-0957 | 2019-01-18 |
| 1932673373 | Derrick Merkey | Specialist/Technologist | 320 E Union Ave Apt 611, Las Cruces, NM 88001-7459 | 2019-01-18 |
| 1841764289 | Michael Cayman Greene | Specialist/Technologist | 1125 Monte Vista Ave Apt 4, Las Cruces, NM 88001-5693 | 2019-01-18 |
| 1346725801 | Andrew C Flores | Specialist/Technologist | 2863 Lake Valley Ave, Las Cruces, NM 88007-1908 | 2018-10-01 |
| 1154849412 | Yong Woo An | Specialist/Technologist | 1652 Stewart St, Las Cruces, NM 88003 | 2017-09-06 |
| 1548656051 | Megan Vetter | Specialist/Technologist | 61 Foster Canyon Rd, Las Cruces, NM 88007-6195 | 2015-04-10 |
| 1194114827 | Vincent Andrew Minjarez | Specialist/Technologist | 1780 E University Ave, Las Cruces, NM 88003-1229 | 2015-01-19 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88003 |
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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.