National Provider Identifier Database

SANTA FE PEDIATRIC ASSOCIATES PC
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


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
* Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for SANTA FE PEDIATRIC ASSOCIATES PC

NPI Number 1225133143
Legal business name
LBN
SANTA FE PEDIATRIC ASSOCIATES PC
Authorized official LAURENCE SHANDLER - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 09/14/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • NM License #: 72227
  • NM Medicaid: 44040
  • Other: 72227 NM BOARD MEDICAL EXAM
  • Other: CS00007212 NM BOARD OF PHARMACY

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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