Individual provider · Type 1 NPI

Jahel Vanessa Santacruz Mediavilla, MD

Student in an Organized Health Care Education/Training Program · Albuquerque, NM

NPI number 1114593407 Active

Practice location

1 University Of New Mexico
Albuquerque, NM 87131-0001

Call (505) 272-5580 Map

Fax (505) 272-6385

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XRS2025-0109 (NM)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114593407

Jahel Vanessa Santacruz Mediavilla, MD's National Provider Identifier is 1114593407, issued on May 27, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Albuquerque, NM. The record was last updated on Jul 30, 2025.