| Roxana Raicu, M.d. | |
|
2204 Brothers Rd Suite B Santa Fe NM 87505-6975 | |
| (505) 603-4480 | |
| (505) 807-0285 |
| Full Name | Roxana Raicu, M.d. |
|---|---|
| Speciality | Psychoanalyst |
| Location | 2204 Brothers Rd, Santa Fe, New Mexico |
| Authorized Official Name and Position | Roxana G. Raicu (OWNER) |
| Authorized Official Contact | 5056034480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roxana Raicu, M.d. 10 Caliente Rd Santa Fe NM 87508-9167 Ph: (505) 603-4480 | Roxana Raicu, M.d. 2204 Brothers Rd Suite B Santa Fe NM 87505-6975 Ph: (505) 603-4480 |
| NPI Number | 1194170324 |
|---|---|
| Provider Enumeration Date | 04/25/2016 |
| Last Update Date | 04/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194170324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 102L00000X | Psychoanalyst | 2003-0100 (New Mexico) | Primary |
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