Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ezequiel Chavez

Individual provider Orthopaedic Surgery Physician · NPI 1073240511

Ezequiel Chavez is a Physician Assistant in Albuquerque, New Mexico. Qualified in 2024, 2 years ago. Practices with St Vincent Hospital, a 332-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
2
Licensed in
NM
In the registry since
2022
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Practice location Address checks out

1500 N Renaissance Blvd NE Ste C
Albuquerque, NM 87107-7002
Phone: (505) 266-5565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence PA2024-0054 (NM)

Record details

NPI number1073240511
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 4, 2022
Last updated in NPPESJuly 10, 2024
Certification dateJuly 10, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice St Vincent Hospital — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Albuquerque