Individual ProviderAngelica Gabriela CasavantesCase Manager/Care CoordinatorOther Service ProvidersPractice Address457 Washington St SE Ste I, Albuquerque, NM 87108-2713(505) 550-3367PECOS EnrollmentBased on the most recent information from CMS, provider Angelica Gabriela Casavantes 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 ID1760335178Provider TypeIndividualFull NameCasavantes, Angelica GabrielaGenderMaleSole ProprietorNoEnumeration Date2/16/2026Last Updated2/16/2026Contact InformationPractice LocationPractice Address457 Washington St SE Ste I, Albuquerque, NM 87108-2713Phone(505) 550-3367Fax(505) 581-3302Mailing LocationMailing Address7701 Edith Blvd NE, Albuquerque, NM 87113-1207Phone(505) 550-3367Fax(505) 581-3302Provider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer