Individual
ALONSO MAGALLANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCSS
Contact information
Practice address
2300 YALE BLVD SE, ALBUQUERQUE, NM 87106-4273
(505) 206-5630
Mailing address
2300 YALE BLVD SE, ALBUQUERQUE, NM 87106-4273
(505) 206-5630
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/17/2026
Last updated
05/07/2026
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