Provider Demographics
NPI:1730989237
Name:DRAGO, NASIELYS
Entity type:Individual
Prefix:
First Name:NASIELYS
Middle Name:
Last Name:DRAGO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:NASIE
Other - Middle Name:
Other - Last Name:DRAGO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:8605 CANYON RUN RD NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-6604
Mailing Address - Country:US
Mailing Address - Phone:505-710-1228
Mailing Address - Fax:
Practice Address - Street 1:8500 MENAUL BLVD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87112-1273
Practice Address - Country:US
Practice Address - Phone:505-710-1228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-14
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional