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SANTA FE PEDIATRIC CARDIOLOGY PC NPI 1891975561


NPI Information

NPI: 1891975561
Provider Name: SANTA FE PEDIATRIC CARDIOLOGY, PC
Classification: Pediatrics - 2080P0202X
Entity Type: Organization

Specialization: Pediatric Cardiology

Address:
683 HARKLE RD STE B
SANTA FE, NM
ZIP 87505
Phone: (505) 982-7661
Get Directions

SANTA FE PEDIATRIC CARDIOLOGY, PC is a pediatric cardiology pediatrics in Santa Fe, NM. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. SANTA FE PEDIATRIC CARDIOLOGY, PC NPI is 1891975561. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

683 HARKLE RD STE B
SANTA FE, NM
ZIP 87505-750
Phone: (505) 982-7661
Fax: (505) 988-5196

The provider's authorized official is C. Grant La Farge .
The authorized official title is President and has the following contact phone number (505) 982-7661.

The enumeration date for this NPI number is 11/9/2007 and was last updated on 11/9/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0202XPediatricsPediatric Cardiology1289503NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
135006MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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