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Contact Information

SANTA FE PEDIATRIC CARDIOLOGY, PC
683 HARKLE RD STE B
SANTA FE, NM87505-4750
 Phone: 505-982-7661
 Fax: 505-988-5196
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for SANTA FE PEDIATRIC CARDIOLOGY PC · (Female)

NPI Number 1891975561
Status Active
Credentials
Entity Individual
Enumeration date 11/09/2007
Last updated 11/09/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • NM License # 1289503
  • NM Medicaid 35006
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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