Diaz, Carmen Margarita
Diaz, Carmen Margarita is an sole proprietor health care provider with primary practice located at 3831 E. Lohman Ave Ste 202, Las Cruces NM 88011. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Prescribing (Medical). Behavioral Health & Social Service Providers / Prescribing (Medical) is her primary health care specialty. Diaz, Carmen Margarita can be contacted via phone (575) 522-5802.Contact Information
Primary practice address
3831 E. Lohman Ave Ste 202
Las Cruces NM 88011
Phone: (575) 522-5802
Fax: (866) 284-6720
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | NM0912 | New Mexico |
| Behavioral Health & Social Service Providers / Prescribing (Medical) | 103TP0016X | 0912 | New Mexico |
| Behavioral Health & Social Service Providers / Prescribing (Medical) | 103TP0016X | 0032 | New Mexico |
Profile Details
| NPI number | 1962421834 |
|---|---|
| LBN Legal business name | Diaz, Carmen Margarita |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Aug 3rd, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962421834 | NPPES |
| New Mexico | MEDICAID | 62125729 | |
| New Mexico | MEDICAID | 00679577 |
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