| Corazon Family Health Pc | |
|
3600 Rodeo Ln Suite A1 Santa Fe NM 87507-6400 | |
| (505) 474-6097 | |
| (505) 471-4503 |
| Full Name | Corazon Family Health Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 3600 Rodeo Ln, Santa Fe, New Mexico |
| Authorized Official Name and Position | Lisa Gurule (BILLING MANAGER) |
| Authorized Official Contact | 5054746097 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corazon Family Health Pc 3600 Rodeo Ln Ste A2 Santa Fe NM 87507-5800 Ph: (505) 629-4400 | Corazon Family Health Pc 3600 Rodeo Ln Suite A1 Santa Fe NM 87507-6400 Ph: (505) 474-6097 |
| NPI Number | 1295847747 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 10/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295847747 | NPI | - | NPPES |
| 50901265 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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