Organization
MANZANILLA HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA SCHWARTZ MD (CO-PRESIDENT)
(505) 401-8322
Entity
Organization
Contact information
Practice address
6727 ACADEMY RD NE STE C, ALBUQUERQUE, NM 87109-3369
(505) 292-1818
Mailing address
169 TIERRA ENCANTADA, CORRALES, NM 87048-6811
(505) 401-8322
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013362953
—
NM
05
—
1083078430
—
NM
Enumeration date
01/20/2025
Last updated
04/08/2025
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