Provider Demographics
NPI:1700852993
Name:PACHECO, EVA CHRISTINA (MD)
Entity Type:Individual
Prefix:DR
First Name:EVA
Middle Name:CHRISTINA
Last Name:PACHECO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2469 CORRALES ROAD NW
Mailing Address - Street 2:BLDG A STE D
Mailing Address - City:CORRALES
Mailing Address - State:NM
Mailing Address - Zip Code:87048
Mailing Address - Country:US
Mailing Address - Phone:505-897-2291
Mailing Address - Fax:505-897-3085
Practice Address - Street 1:2469 CORRALES RD STE D
Practice Address - Street 2:
Practice Address - City:CORRALES
Practice Address - State:NM
Practice Address - Zip Code:87048-9148
Practice Address - Country:US
Practice Address - Phone:505-897-4433
Practice Address - Fax:505-345-9914
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-27
Last Update Date:2024-05-15
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Provider Licenses
StateLicense IDTaxonomies
NM94-116208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM13513Medicaid
NM13513Medicaid