Individual ProviderMonique LopezCase Manager/Care CoordinatorOther Service ProvidersPractice Address203 California St NE, Albuquerque, NM 87108-1802(505) 308-8296PECOS EnrollmentBased on the most recent information from CMS, provider Monique Lopez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1538998828Provider TypeIndividualFull NameLopez, MoniqueGenderFemaleSole ProprietorNoEnumeration Date7/26/2024Last Updated7/26/2024Contact InformationPractice LocationPractice Address203 California St NE, Albuquerque, NM 87108-1802Phone(505) 308-8296FaxUnlisted FaxMailing LocationMailing Address203 California St NE, Albuquerque, NM 87108-1802Phone(505) 308-8296FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseCCSSNew Mexico