Provider Demographics
NPI:1205965456
Name:ALANIZ-SAIZ, MAGDALENA S (MSW)
Entity type:Individual
Prefix:
First Name:MAGDALENA
Middle Name:S
Last Name:ALANIZ-SAIZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13A SAN MARCOS LOOP
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87508-8627
Mailing Address - Country:US
Mailing Address - Phone:505-467-1700
Mailing Address - Fax:505-474-7862
Practice Address - Street 1:13A SAN MARCOS LOOP
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87508-8627
Practice Address - Country:US
Practice Address - Phone:505-467-1700
Practice Address - Fax:505-474-7862
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMM-04897101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM22881841Medicaid