| |
5501 Herrera Dr Santa Fe NM 87507-2684 | |
(505) 913-3233 | |
Not Available |
Full Name | |
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Speciality | General Practice |
Location | 5501 Herrera Dr, Santa Fe, New Mexico |
Authorized Official Name and Position | Lillian Montoya (CEO/PRESIDENT) |
Authorized Official Contact | 5059135258 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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455 St Michaels Dr Santa Fe NM 87505-7601 Ph: () - | 5501 Herrera Dr Santa Fe NM 87507-2684 Ph: (505) 913-3233 |
NPI Number | 1144627332 |
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Provider Enumeration Date | 12/03/2014 |
Last Update Date | 11/02/2018 |
Identifier | Type | State | Issuer |
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1144627332 | NPI | - | NPPES |
15470881 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Santa Fe Imaging Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1640 Hospital Dr, Santa Fe, NM 87505 Phone: 505-983-9350 Fax: 505-955-8763 | |
Axces Health Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 531 Harkle Rd Ste B, Santa Fe, NM 87505 Phone: 505-207-8078 Fax: 505-207-8082 | |
Joshua Brown Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1650 Hospital Dr Ste 200, Santa Fe, NM 87505 Phone: 505-982-4276 Fax: 505-983-7571 | |