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Contact Information

SANTA FE PEDIATRIC ASSOCIATES PC
1418 LUISA STREET
SUITE 5
SANTA FE, NM87505
 Phone: 505-988-8024
 Fax: 505-984-8967
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

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

NPI Number 1225133143
Status Active
Credentials
Entity Individual
Enumeration date 09/14/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • NM License # 72227
  • NM Medicaid 44040
  • Other 72227 NM BOARD MEDICAL EXAM
  • Other CS00007212 NM BOARD OF PHARMACY
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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