Macias, Santiago R.

Macias, Santiago R. is an individual health care provider with primary practice located at 2001 El Centro Familiar Blvd Sw , Albuquerque NM 87105-4592. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Macias, Santiago R. can be contacted via phone (505) 873-7400.

Contact Information

Primary practice address
2001 El Centro Familiar Blvd Sw Albuquerque NM 87105-4592
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD2004-0045 New Mexico

Profile Details

NPI number 1154328094
LBN Legal business name Macias, Santiago R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated May 7th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154328094 NPPES
New Mexico MEDICAID 17808014

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