MRS. MARIETTA MONTOYA (NPI# 1780727735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780727735 |
| Entity Type | Individual |
| Full Name | MRS. MARIETTA MONTOYA |
| Credential | P.T. |
| Practice Address |
129 Canal Street Jemez Pueblo NM 87024 |
| Mailing Address |
6820 Vivian Dr Ne Albuquerque NM 87109-4047 |
| Practice Telephone | 5058343175 |
| Practice Fax Number | 5058340238 |
| Mailing Telephone | 5058583011 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| Street Address |
129 CANAL STREET |
| City | JEMEZ PUEBLO |
| State | NM |
| Zip Code | 87024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104357003 | Lovelace Unm Rehabilitation Hospital LLC | Physical Therapist | 129 A Canal Street, Jemez Pueblo, NM 87024 | 2017-03-22 |
| 1245786565 | Alana Chinana | Technician, Other | 174 Good Spirits Rd., Jemez Pueblo, NM 87024 | 2016-08-28 |
| 1932482445 | Lovelace Health System LLC | Physical Therapist | 129-a Canal Street, Jemez Pueblo, NM 87024 | 2011-09-21 |
| 1750615506 | Angela Xaviera Torres | Dentist | 110 Sheep Springs Rd, Jemez Pueblo, NM 87024 | 2009-09-28 |
| 1629218631 | Carol Ann Vigil | Counselor | 110 Sheep Spring Rd., Jemez Pueblo, NM 87024 | 2009-03-03 |
| 1821233644 | Debra Ann Benalli | Counselor | 110 Sheep Springs Rd., Jemez Pueblo, NM 87024 | 2008-12-08 |
| 1477676567 | Pueblo of Jemez | Clinic/Center | 110 Sheepsprings Way, Jemez Pueblo, NM 87024 | 2007-04-06 |
| 1629116611 | Deyvonna Allison Gachupin | Pharmacy Technician | 110 Sheepsprings Rd, Jemez Pueblo, NM 87024 | 2007-02-02 |
| 1801934864 | Vonda J Baca | Registered Nurse | 110 Sheepsprings Way St, Jemez Pueblo, NM 87024 | 2007-02-02 |
| 1245378330 | Brenda Barr | Registered Nurse | 110 Sheep Springs Way Rd, Jemez Pueblo, NM 87024 | 2007-02-02 |
| Find all providers in zip 87024 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578184990 | Shane Newsom | Contractor | 12300 Modesto Ave Ne, Albuquerque, NM 87122-2232 | 2020-04-27 |
| 1346872744 | Leonardo P Llamas | Contractor | 2327 Mcnutt Rd Ste C, Sunland Park, NM 88063-9566 | 2020-02-04 |
| 1972158327 | Caroline Telles | Contractor | 2929 Coors Blvd Nw Ste 307e, Albuquerque, NM 87120-1173 | 2019-08-02 |
| 1457834681 | Medical Practice Solutions | Contractor | 4501 Osuna Rd Ne, Albuquerque, NM 87109-4467 | 2018-09-13 |
| 1275067449 | Lorraine A Romo | Contractor | 10616 Teal Rd Sw, Albuquerque, NM 87121-8464 | 2017-04-14 |
| 1730612276 | Camie Renee Nelson | Contractor | 121 Bishop Drive, Gallup, NM 87301 | 2017-04-11 |
| 1700327293 | Lisa Grizzle | Contractor | 330 El Cerro Mission, Los Lunas, NM 87031 | 2017-03-16 |
| 1932646577 | Mark P Hogan | Contractor | 806 Delamar Ave Nw, Albuquerque, NM 87107-5122 | 2017-01-20 |
| 1629527478 | Jeanette Moore | Contractor | 7408 Estes Park Ave Nw, Albuquerque, NM 87114-3944 | 2016-09-21 |
| 1548717820 | Leanne Hands | Contractor | 1460 Los Lentes Rd Ne, Los Lunas, NM 87031-9311 | 2016-09-05 |
| Find all providers with the same taxonomy | ||||
| City | JEMEZ PUEBLO |
| Zip Code | 87024 |
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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.