Provider Demographics
NPI:1750765350
Name:TERRAZAS, MARIA
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:
Last Name:TERRAZAS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 N PASEO DE ONATE
Mailing Address - Street 2:
Mailing Address - City:ESPANOLA
Mailing Address - State:NM
Mailing Address - Zip Code:87532-2687
Mailing Address - Country:US
Mailing Address - Phone:505-443-2800
Mailing Address - Fax:505-443-8308
Practice Address - Street 1:1200 N PASEO DE ONATE
Practice Address - Street 2:
Practice Address - City:ESPANOLA
Practice Address - State:NM
Practice Address - Zip Code:87532-2687
Practice Address - Country:US
Practice Address - Phone:505-443-2800
Practice Address - Fax:505-443-8308
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-13
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management