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MYO CARDIOVASCULAR CLINIC LLC. NPI 1912218207


NPI Information

NPI: 1912218207
Provider Name: MYO CARDIOVASCULAR CLINIC LLC.
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
1596 SAN MATEO LN
SANTA FE, NM
ZIP 87505
Phone: (505) 670-3077
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MYO CARDIOVASCULAR CLINIC LLC. is a medical specialty clinic center in Santa Fe, NM. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). MYO CARDIOVASCULAR CLINIC LLC. NPI is 1912218207. The provider is registered as an organization entity type.

The provider's business location address is:

1596 SAN MATEO LN
SANTA FE, NM
ZIP 87505-918
Phone: (505) 670-3077
Fax: (505) 212-0229

The provider's authorized official is Armin Foghi .
The authorized official title is Medical Director and has the following contact phone number (505) 220-5753.

The enumeration date for this NPI number is 7/1/2010 and was last updated on 10/13/2010.


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
1261QM2500XClinic/CenterMedical SpecialtyMD2005-0713NEW 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
1NMA100865MEDICARE PINNEW MEXICO
21952358376OTHERINDIVIDUAL NPI
31912218207OTHERNEW MEXICOORGANIZATIONAL NPI

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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