Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ezekiel Mauricio

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013436005

Ezekiel Mauricio is a Student in an Organized Health Care Education/Training Program in Portales, New Mexico. Registered with an NPI since 2017.

In the registry since
2017
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Practice location Address checks out

1500 S Ave K Station 3 Shroc
Portales, NM 88130-8813
Phone: (361) 236-9006
Fax: (361) 236-9006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1013436005
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 12, 2017
Last updated in NPPESSeptember 12, 2017
Mailing address1500 S Ave K, Station 3, Shroc, Portales, NM 88130

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