FABIOLA PEREZ (NPI# 1396388658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396388658 |
| Entity Type | Individual |
| Full Name | FABIOLA PEREZ |
| Credential | RPH |
| Practice Address |
400 State Road 30 Espanola NM 87532-8208 |
| Mailing Address |
1601 Questa Rd Ne Rio Rancho NM 87144-6324 |
| Practice Telephone | 5057538393 |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2019-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP00009185 | NM | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285853382 | Fabiola Perez | Massage Therapist | 9610 Sw 44th St, Miami, FL 33165-5824 | 2007-04-25 |
| 1376929240 | Fabiola Perez | Case Manager/Care Coordinator | 11740 E 21st St, Tulsa, OK 74129-1820 | 2015-08-03 |
| Street Address |
400 STATE ROAD 30 |
| City | ESPANOLA |
| State | NM |
| Zip Code | 87532-8208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891113049 | Jennifer Redd | Family Medicine | 400 State Road 30, Espanola, NM 87532-8208 | 2014-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720690423 | David A. Bustos | Non-emergency Medical Transport (VAN) | 1736 Calle Culebra, Espanola, NM 87532 | 2020-08-24 |
| 1407484942 | Rosita Lorreyna Sanchez | Behavior Technician | 3 Calle Baca, Espanola, NM 87532 | 2020-03-30 |
| 1437615564 | Troy Campbell | Counselor | 19525 Tomas Ln, Espanola, NM 87532 | 2019-02-13 |
| 1174099428 | Marisa Anaya | Registered Nurse | 420 N Coronado Ave, Espanola, NM 87532 | 2018-10-15 |
| 1780169938 | Celina Velasquez | Specialist/Technologist | 8 Camino Velasquez Ln., Espanola, NM 87532 | 2018-10-03 |
| 1356864656 | Jacqueline Andrea Zamora Alvarado | Behavior Technician | 3 Boneyard Rd, Espanola, NM 87532 | 2017-07-19 |
| 1619423902 | Mariah Maureen Martinez | Specialist/Technologist | 1421 Montana Vista St, Espanola, NM 87532 | 2016-08-28 |
| 1851847180 | Shannon Vigil | Perfusionist | 829 Calle Juan Jose Vigil, Espanola, NM 87532 | 2016-08-28 |
| 1144684234 | Tanya P. Reyes | Family Medicine | El Centro Family Health, 2010 Industrial Park Rd., Espanola, NM 87532 | 2016-04-05 |
| 1780058768 | Kale Lee Dennis | Massage Therapist | 2 Old Orchard Ln, Espanola, NM 87532 | 2015-11-13 |
| Find all providers in zip 87532 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053560698 | William David Harris Jr. | Pharmacist | Rural Route 5 Box 46, Espanola, NM 87532 | 2008-09-18 |
| 1528061025 | Martin Jagers | Pharmacist | 1202 N Riverside Dr, Cvs Pharmacy, Espanola, NM 87532-2976 | 2005-05-27 |
| 1285277863 | Mark Andrew Angel | Pharmacist | 734 N Riverside Dr, Espanola, NM 87532-2957 | 2019-10-25 |
| 1427538024 | Christella Anne Lovato | Pharmacist | 1202 N Riverside Dr, Espanola, NM 87532-2976 | 2018-08-14 |
| 1427563782 | Sevdelina Ionkova | Pharmacist | 1610 N Riverside Dr, Espanola, NM 87532 | 2017-12-08 |
| 1477062370 | Vanessa Monique Lucero | Pharmacist | 1010 Spruce St, Espanola, NM 87532-2724 | 2017-09-22 |
| 1881064327 | Jesse Garrett | Pharmacist | 1115 N Riverside Dr, Espanola, NM 87532-2802 | 2015-09-27 |
| 1043689755 | Dhruva Shah | Pharmacist | 1202 N Riverside Dr, Espanola, NM 87532-2976 | 2015-09-23 |
| 1528449840 | Darrell Sanchez | Pharmacist | 734 N Riverside Dr, Espanola, NM 87532-2957 | 2015-06-11 |
| 1891104501 | Julie Martinez | Pharmacist | 1115 N Riverside Dr, Espanola, NM 87532-2802 | 2014-08-06 |
| Find all providers in ESPANOLA | ||||
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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.