RIO GRANDE FOOT & ANKLE SPECIALISTS LLC NPI 1497364780

NPI Information

NPI: 1497364780
Provider Name: RIO GRANDE FOOT & ANKLE SPECIALISTS LLC

Doing Business As: RIO GRANDE FOOT & ANKLE SPECIALISTS LLC

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
2019 GALISTEO ST STE K-2
SANTA FE, NM
ZIP 87505
Phone: (505) 395-9575
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RIO GRANDE FOOT & ANKLE SPECIALISTS LLC is a foot and ankle surgery podiatrist in Santa Fe, NM. RIO GRANDE FOOT & ANKLE SPECIALISTS LLC NPI is 1497364780. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Rio Grande Foot & Ankle Specialists Llc.

The provider's business location address is:

2019 GALISTEO ST STE K-2
SANTA FE, NM
ZIP 87505-143
Phone: (505) 395-9575
Fax: (877) 540-1253

The provider's authorized official is Michelle Elizabeth Deithloff .
The authorized official title is Dpm/owner and has the following contact phone number (505) 395-9575.

The enumeration date for this NPI number is 7/23/2020 and was last updated on 6/13/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	POD401	OTHER	NEW MEXICO	MEDICAL LICENSE

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

NPI Synchronization or Removal

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