Crystal J Tortalita, is a 
Case Manager/care Coordinator based in Santo Domingo Pueblo, New Mexico. Crystal J Tortalita is licensed to practice in * (Not Available) (license number ) and her current practice location is 
85 West Hwy 22, Santo Domingo Pueblo, New Mexico. She can be reached at her office (for appointments etc.) via phone at 
(505) 465-3060.
NPI number for Crystal J Tortalita is 1497509129 and her current mailing address is Po Box 340, Santo Domingo Pueblo, New Mexico. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497509129.
			
			
			
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Crystal J Tortalita | 
|---|
| Gender | Female | 
|---|
| Speciality | Case Manager/care Coordinator | 
|---|
| Location | 85 West Hwy 22, Santo Domingo Pueblo, New Mexico | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1497509129
- Provider Enumeration Date: 04/17/2024
- Last Update Date: 04/17/2024
 
		 
		 
Medical Identifiers
		Medical identifiers for Crystal J Tortalita such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1497509129 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary | 
| 171M00000X | Case Manager/care Coordinator | (* (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. Crystal J Tortalita 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 | 
|---|
		| Crystal J Tortalita, Po Box 340,
 Santo Domingo Pueblo, NM 87052-0340
 Ph: (505) 465-3060
 | Crystal J Tortalita, 85 West Hwy 22,
 Santo Domingo Pueblo, NM 87052
 Ph: (505) 465-3060
 | 
		
		 
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