| Santa Teresa Family Medical Center | |
|
5055 Mcnutt Rd Santa Teresa NM 88008-9442 | |
| (575) 589-5005 | |
| Not Available |
| Full Name | Santa Teresa Family Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 5055 Mcnutt Rd, Santa Teresa, New Mexico |
| Authorized Official Name and Position | Mario Vela (OWNER) |
| Authorized Official Contact | 5755895005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Teresa Family Medical Center 5055 Mcnutt Rd Santa Teresa NM 88008-9442 Ph: (575) 589-5005 | Santa Teresa Family Medical Center 5055 Mcnutt Rd Santa Teresa NM 88008-9442 Ph: (575) 589-5005 |
| NPI Number | 1144757063 |
|---|---|
| Provider Enumeration Date | 05/23/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 6204107311 |
|---|---|
| Medicare Enrollment ID | O20170808003577 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144757063 | NPI | - | NPPES |
| 82-1390204 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | CNP-017111 (New Mexico) | Primary |
| Provider Name | Alfred B Varela |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699766816 PECOS PAC ID: 7911903992 Enrollment ID: I20061014000033 |
| Provider Name | Mario Vela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023068012 PECOS PAC ID: 0840392064 Enrollment ID: I20170823003913 |
| Provider Name | Tamra R Varela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679053722 PECOS PAC ID: 5395085575 Enrollment ID: I20190329002010 |
La Clinica De Familia Santa Teresa School Base Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Airport Rd, Santa Teresa, NM 88008 Phone: 575-874-9338 Fax: 575-874-9338 | |
Santa Teresa Occmed Center, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5055 Mcnutt Rd, Santa Teresa, NM 88008 Phone: 505-589-5005 | |
One Complete Care Aesthetics Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5290 Mcnutt Rd Ste 103, Santa Teresa, NM 88008 Phone: 575-650-6883 | |
Total Therapy Solutions Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 Country Club Rd Ste C, Santa Teresa, NM 88008 Phone: 575-589-0303 Fax: 575-589-4080 | |
Doctors Of Santa Teresa Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5290 Mcnutt Road, Santa Teresa, NM 88008 Phone: 575-589-1144 Fax: 575-589-2008 | |
Santa Teresa Medical Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5055 Mcnutt Rd, Santa Teresa, NM 88008 Phone: 575-589-5005 Fax: 575-589-1333 |