| Family Medicine Partners Of Santa Fe, P.c. | |
|
1414 Luisa St Santa Fe NM 87505-4347 | |
| (505) 930-5040 | |
| (505) 930-5041 |
| Full Name | Family Medicine Partners Of Santa Fe, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 1414 Luisa St, Santa Fe, New Mexico |
| Authorized Official Name and Position | Julie Renee Martinez (PRESIDENT) |
| Authorized Official Contact | 5059305040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Partners Of Santa Fe, P.c. 1414 Luisa St Santa Fe NM 87505-4347 Ph: (505) 930-5040 | Family Medicine Partners Of Santa Fe, P.c. 1414 Luisa St Santa Fe NM 87505-4347 Ph: (505) 930-5040 |
| NPI Number | 1275949778 |
|---|---|
| Provider Enumeration Date | 07/03/2014 |
| Last Update Date | 06/15/2015 |
| Medicare PECOS PAC ID | 4587884531 |
|---|---|
| Medicare Enrollment ID | O20140925001791 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275949778 | NPI | - | NPPES |
| 81008848 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Patrick Jesus Samora |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881682912 PECOS PAC ID: 0143118471 Enrollment ID: I20080408000104 |
| Provider Name | Julie R Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598753782 PECOS PAC ID: 9234020611 Enrollment ID: I20080408000123 |
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