NEW MEXICO SLEEP LABS NPI 1679110530

NPI Information

NPI: 1679110530
Provider Name: NEW MEXICO SLEEP LABS

Doing Business As: SANTA FE SLEEP CENTER

Classification: Clinic/Center - 261QS1200X
Entity Type: Organization

Specialization: Sleep Disorder Diagnostic

Address:
1651 GALISTEO ST STE 11
SANTA FE, NM
ZIP 87505
Phone: (915) 779-7378
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NEW MEXICO SLEEP LABS is a sleep disorder diagnostic clinic center in Santa Fe, NM. NEW MEXICO SLEEP LABS NPI is 1679110530. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Santa Fe Sleep Center.

The provider's business location address is:

1651 GALISTEO ST STE 11
SANTA FE, NM
ZIP 87505-113
Phone: (915) 779-7378
Fax: (915) 779-2822

The provider's authorized official is Gonzalo Diaz .
The authorized official title is Owner and has the following contact phone number (915) 779-7378.

The enumeration date for this NPI number is 12/10/2019 and was last updated on 3/24/2022.

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	207RS0012X	Internal Medicine	Sleep Medicine			No
2	261QS1200X	Clinic/Center	Sleep Disorder Diagnostic			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	79570054	MEDICAID	NEW 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

NPI Synchronization or Removal

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