Provider Demographics
NPI:1952967952
Name:MERKEL, CARIDAD (CNM)
Entity Type:Individual
Prefix:
First Name:CARIDAD
Middle Name:
Last Name:MERKEL
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:CARI
Other - Middle Name:
Other - Last Name:MERKEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CNM
Mailing Address - Street 1:2809 DELICIAS RD SE
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87124-2988
Mailing Address - Country:US
Mailing Address - Phone:505-362-0949
Mailing Address - Fax:
Practice Address - Street 1:6100 PAN AMERICAN FWY NE SUITE 450
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109
Practice Address - Country:US
Practice Address - Phone:505-823-8787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-15
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1051288367A00000X, 367A00000X
NM768207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
14445695OtherCAQH