Carlos Ciprano Ortega
Peer Specialist in Albuquerque, NM. Individual provider (NPI-1).
NPI number1104746346
StatusActive
Last updated in NPPESJul 17, 2026
Details
- NPI
- 1104746346
- Entity type
- Individual (NPI-1)
- Name
- Carlos Ciprano Ortega
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 17, 2026
- Certification date
- Jul 17, 2026
- Last updated
- Jul 17, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | 2127 | NM | Yes |
| 172V00000X | Community Health Worker | – | NM |
Practice location
13139 Central Ave NeAlbuquerque, NM 87123-3031
Phone 505-595-1607
Mailing address
13139 Central Ave NeAlbuquerque, NM 87123-3031
Phone 505-595-1607
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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