Mariah Destini-rae Jimenez, is a
Case Manager/care Coordinator based in Albuquerque, New Mexico. Mariah Destini-rae Jimenez is licensed to practice in * (Not Available) (license number ) and her current practice location is
1217 1st St Nw, Albuquerque, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(505) 766-5197.
NPI number for Mariah Destini-rae Jimenez is 1831799758 and her current mailing address is 5420 Territorial Rd Nw, Albuquerque, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831799758.
Healthcare Provider's Profile
| Full Name | Mariah Destini-rae Jimenez |
|---|
| Gender | Female |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 1217 1st St Nw, Albuquerque, New Mexico |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1831799758
- Provider Enumeration Date: 10/29/2020
- Last Update Date: 09/25/2025
Medical Identifiers
Medical identifiers for Mariah Destini-rae Jimenez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1831799758 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | (New Mexico) | 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. Mariah Destini-rae Jimenez 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 |
Mariah Destini-rae Jimenez, 5420 Territorial Rd Nw, Albuquerque, NM 87120-2941 Ph: (505) 319-4168 | Mariah Destini-rae Jimenez, 1217 1st St Nw, Albuquerque, NM 87102-1529 Ph: (505) 766-5197 |
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