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Contact Information

SANTA ROSA MEDICAL CLINIC
533 LAKE DR
SANTA ROSA, NM88435
 Phone: 505-472-4311
 Fax: 505-472-4313
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SANTA ROSA MEDICAL CLINIC · (Female)

NPI Number 1922039171
Status Active
Credentials
Entity Individual
Enumeration date 07/06/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • NM License # 20020002
  • NM Medicaid 78150728
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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