Doctor Name: | GABRIEL ENRIQUE MACIEL |
NPI Number: | 1326345570 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CNP |
License Number: | CNP-01749 |
Business Practice Address: | 125 Chaparrel Blvd Nw Deming, NM - 880308629 |
Business Phone Number: | 5755464800 |
Business Fax Number: | 5755460685 |
Mailing Address: | Po Box 370, HATCH |
State: | NM |
Postal Code: | 879370370 |
Phone Number: | 5752673280 |
Fax Number: | 5752671747 |
NPI Enumeration Date: | 02/24/2011 |
NPI Last Update Date: | 08/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | CNP-01749 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NM |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |