Individual provider · Type 1 NPI

Jasmine Cruz Pena

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

NPI number 1609774462 Active

Practice location

8500 Menaul Blvd NE Ste B460
Albuquerque, NM 87112-2250

Call (505) 974-0104 Map

Mailing address

1907 Isleta Blvd SW Unit 6
Albuquerque, NM 87105-4683

Specialties and licenses

TaxonomyCodeLicense
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 1609774462

Jasmine Cruz Pena's National Provider Identifier is 1609774462, issued on Oct 29, 2026. 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 Oct 29, 2026.