| Doctor Name: | MR. JIMMY MAGGAY CALZADO |
| NPI Number: | 1003162736 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CNP |
| License Number: | CNP-01999 |
| Business Practice Address: | 1005 21st St Se Suite 7 Rio Rancho, NM - 871244030 |
| Business Phone Number: | 5055153982 |
| Business Fax Number: | 5057926060 |
| Mailing Address: | 2003 Southern Blvd Se, Suite 102-214 RIO RANCHO |
| State: | NM |
| Postal Code: | 871243751 |
| Phone Number: | 5055153982 |
| Fax Number: | 5057926060 |
| NPI Enumeration Date: | 07/31/2012 |
| NPI Last Update Date: | 07/31/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0809X |
| License Number: | CNP-01999 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |