Search › New Mexico › 1041C0700X
Isaac Banegas
NPI 1922929165 · on the registry since 2026
Practice
- Address
- 8600 Academy Rd Ne
Albuquerque, NM 87111 - Phone
- (505) 821-3628
- Fax
- (505) 856-7103
- Organisation at this address
- Formation Counseling Services Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 35
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico