Alexandra Shandale Estrada, is a
Student In An Organized Health Care Education/training Program based in Tularosa, New Mexico. Alexandra Shandale Estrada is licensed to practice in * (Not Available) (license number ) and her current practice location is
504 1st St, Tularosa, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(575) 430-5166.
NPI number for Alexandra Shandale Estrada is 1770354524 and her current mailing address is 504 1st St, Tularosa, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770354524.
Healthcare Provider's Profile
Full Name | Alexandra Shandale Estrada |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 504 1st St, Tularosa, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1770354524
- Provider Enumeration Date: 01/10/2024
- Last Update Date: 04/07/2025
Medical Identifiers
Medical identifiers for Alexandra Shandale Estrada such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770354524 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | CTB-2024-0812 (New Mexico) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alexandra Shandale Estrada is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Alexandra Shandale Estrada, 504 1st St, Tularosa, NM 88352-2702 Ph: (575) 491-0556 | Alexandra Shandale Estrada, 504 1st St, Tularosa, NM 88352-2702 Ph: (575) 430-5166 |
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