Pojoaque Family Practice, P.A.

LBN: Pojoaque Family Practice, P.A.
Pojoaque Family Practice, P.A. is an health care organization with primary practice located at 5 Petroglyph Cir Ste. B, Santa Fe NM 87506-1001. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Pojoaque Family Practice, P.A. can be contacted via phone (505) 455-2842, or through Maestas, Charles James via phone (505) 455-2842.

Contact Information

Primary practice address
5 Petroglyph Cir Ste. B Santa Fe NM 87506-1001
Phone: (505) 455-2842
Fax: (505) 455-2941
Website:
Map and Directions
Authorized official contact:
Name: Maestas, Charles James Doctor of Medicine (MD)
Phone: (505) 455-2842

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X 000 New Mexico

Profile Details

NPI number 1326145707
LBN Legal business name Pojoaque Family Practice, P.A.
DBA Doing business as
Authorized official Maestas, Charles James Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Apr 16th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326145707 NPPES
New Mexico MEDICAID 07930

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