Individual provider · Type 1 NPI

Matthew Antonio Chavez

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

NPI number 1174290563 Active

Practice location

University Of New Mexico
Albuquerque, NM 87131-0001

Mailing address

1710 Helena Dr
Gallup, NM 87301-5610

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1174290563

Matthew Antonio Chavez's National Provider Identifier is 1174290563, issued on Aug 24, 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 Aug 24, 2021.