| Molina Medical Group Of New Mexico, Pc | |
|
1714 Saint Michaels Dr # 1 Santa Fe NM 87505-7617 | |
| (505) 490-4042 | |
| (877) 846-3680 |
| Full Name | Molina Medical Group Of New Mexico, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1714 Saint Michaels Dr # 1, Santa Fe, New Mexico |
| Authorized Official Name and Position | Gloria Calderon (VP, CLINIC OPERATIONS) |
| Authorized Official Contact | 5624996191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Molina Medical Group Of New Mexico, Pc 200 Oceangate Suite 100 Long Beach CA 90802-4317 Ph: (505) 490-4042 | Molina Medical Group Of New Mexico, Pc 1714 Saint Michaels Dr # 1 Santa Fe NM 87505-7617 Ph: (505) 490-4042 |
| NPI Number | 1194150318 |
|---|---|
| Provider Enumeration Date | 09/06/2013 |
| Last Update Date | 05/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194150318 | NPI | - | NPPES |
| 72035005-EFF.1/21/14 | Medicaid | NM |
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