MARY CARRILLO


Address: 435 Bluethorn Ct Sw, Albuquerque, NM 87121-9331
Phone: 5054403144

MARY CARRILLO (NPI# 1962014522) 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) 1962014522
Entity Type Individual
Full Name MARY CARRILLO
Practice Address 435 Bluethorn Ct Sw
Albuquerque
NM 87121-9331
Practice Telephone 5054403144
Mailing Telephone 5054403144
Enumeration Date 2020-08-17
Last Update Date 2020-08-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747A0650X Technician
Specialization: Attendant Care Provider
Nursing Service Related Providers

Other Providers MARY CARRILLO

NPI Name Taxonomy Address Enumeration
1477925790 Mary Carrillo Community Health Worker 12264 Reed Ave, Grand Terrace, CA 92313-5432 2015-10-26
1356722268 Mary Carrillo Registered Nurse 140 Park Ave, Florham Park, NJ 07932-1049 2015-06-16

Office Location

Street Address 435 BLUETHORN CT SW
City ALBUQUERQUE
State NM
Zip Code 87121-9331

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871144196 Mireya Molina Technician 2911 Cabral Trl Sw, Albuquerque, NM 87121 2019-09-27
1093282725 Tomasita Sedillo Registered Nurse 4050 118th St Sw, Albuquerque, NM 87121 2018-10-31
1285112748 Wesley Ross Hanchett Dentist 3715 Las Estancias Way, Suite 101, Albuquerque, NM 87121 2018-08-06
1699266106 Michael Thomas Lauer Dentist 120 98th St Sw Suite C-3, Albuquerque, NM 87121 2018-05-21
1992295299 Kimberlee Ann Dutton Registered Nurse 3715 Las Estancias Ct Sw, Albuquerque, NM 87121 2018-05-14
1376069385 Lisa Dudasik Day Training/Habilitation Specialist 2300 Diamond Mesa Trail Sw, 8805, Albuquerque, NM 87121 2017-08-22
1497297444 Jeffrey Romero I Behavior Technician 1015 Alexandra St Sw, Albuquerque, NM 87121 2016-11-08
1912457151 Deamber Yonker Technician, Other 309 Bristol Nw, Albuquerque, NM 87121 2016-10-12
1457727125 Perfect Teeth / Coors & Central P.C. Dentist 6660 Central Ave Sw, Albuquerque, NM 87121 2015-08-18
1053719344 South Valley Children's Dentistry Dentist 3510 Coors Blvd., Sw, Albuquerque, NM 87121 2014-12-18
Find all providers in zip 87121

Taxonomy Information

Taxonomy Code 3747A0650X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Attendant Care Provider

Taxonomy Definition

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497360291 Frances J. Dewent Technician 504 Aragon St Se, Albuquerque, NM 87123 2020-09-09
1205445897 Doris C Hubert Technician 12716 Tomlinson Dr Se, Albuquerque, NM 87123-3716 2020-07-29
1932723897 Kathryn L Bode Technician 8501 Rancho Del Cerro Dr Ne, Albuquerque, NM 87113-2076 2020-06-05
1295359750 Severo Baca IIi Technician 5600 Gibson Blvd Se Apt 144, Albuquerque, NM 87108-5391 2020-06-01
1144840679 Alexander Villalonga Technician 3013 Conchas St Ne, Albuquerque, NM 87111-4744 2020-04-24
1598308967 Attila Peter Veres Technician 91 Juniper Hill Rd Ne, Albuquerque, NM 87122-1910 2019-10-17
1871144196 Mireya Molina Technician 2911 Cabral Trl Sw, Albuquerque, NM 87121 2019-09-27
1083264824 Kacie Rhodes Technician 515 Isleta Blvd Sw, Albuquerque, NM 87105 2019-09-13
1770133589 Laura Lee Smith Technician 5112 Vista De Luz Nw, Albuquerque, NM 87120 2019-09-13
1518517325 Lillian Abeyta Technician 1501 San Pedro Dr Se., Albuquerque, NM 87108 2019-09-13
Find all providers in ALBUQUERQUE

Competitor

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City ALBUQUERQUE
Zip Code 87121

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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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