| G&l Medical Llc | |
|
401 Botulph Ln Santa Fe NM 87505-6912 | |
| (631) 259-1995 | |
| Not Available |
| Full Name | G&l Medical Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 401 Botulph Ln, Santa Fe, New Mexico |
| Authorized Official Name and Position | Gregory J Fernandez (FAMILY MEDICINE PROVIDER/OWNER) |
| Authorized Official Contact | 6312591995 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| G&l Medical Llc 401 Botulph Ln Santa Fe NM 87505-6912 Ph: (631) 259-1995 | G&l Medical Llc 401 Botulph Ln Santa Fe NM 87505-6912 Ph: (631) 259-1995 |
| NPI Number | 1578276515 |
|---|---|
| Provider Enumeration Date | 01/05/2023 |
| Last Update Date | 01/24/2023 |
| Medicare PECOS PAC ID | 2769854868 |
|---|---|
| Medicare Enrollment ID | O20230220001174 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578276515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Gregory Fernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982924742 PECOS PAC ID: 9638590318 Enrollment ID: I20230220001377 |
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