| Doctor Name: | RUDY A TAFOYA |
| NPI Number: | 1003049248 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | BMS |
| License Number: | M-08073 |
| Business Practice Address: | 801 Encino Pl Ne Building F Albuquerque, NM - 871022612 |
| Business Phone Number: | 5052721312 |
| Business Fax Number: | 5052722240 |
| Mailing Address: | 933 Bradbury Dr Se, Suite 2222 ALBUQUERQUE |
| State: | NM |
| Postal Code: | 871064374 |
| Phone Number: | 5052723120 |
| Fax Number: | 5052728060 |
| NPI Enumeration Date: | 09/03/2009 |
| NPI Last Update Date: | 07/17/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | M-08073 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |