| Rodeo Family Medicine | |
|
4001 Rodeo Rd Santa Fe NM 87507-4830 | |
| (505) 471-8994 | |
| (505) 473-1274 |
| Full Name | Rodeo Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 4001 Rodeo Rd, Santa Fe, New Mexico |
| Authorized Official Name and Position | J Alex Valdez (CEO PRESIDENT) |
| Authorized Official Contact | 5058205227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rodeo Family Medicine 4001 Rodeo Rd Santa Fe NM 87507-4830 Ph: (505) 417-8994 | Rodeo Family Medicine 4001 Rodeo Rd Santa Fe NM 87507-4830 Ph: (505) 471-8994 |
| NPI Number | 1518084128 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 03/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518084128 | NPI | - | NPPES |
| 60383054 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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