Santa Rosa Medical Clinic in Santa Rosa - Internal Medicine
Santa Rosa Medical Clinic - NPI 1922039171
Santa Rosa Medical Clinic is a Internal Medicine in Santa Rosa, New Mexico. Santa Rosa Medical Clinic practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Santa Rosa Medical Clinic is 1922039171. The last update date is 2020-08-22.
Santa Rosa Medical Clinic's current location address is 533 Lake Dr, Santa Rosa, New Mexico. You can contact this provider via phone number 5054724311 and fax number 5054724313. The mailing address for Santa Rosa Medical Clinic is 533 Lake Dr, Santa Rosa, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Santa Rosa Medical Clinic |
|---|---|
| Address | 533 Lake Dr, Santa Rosa, New Mexico |
| Phone Number | 5054724311 |
| Fax Number | 5054724313 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DO |
|---|---|
| Authorized Official Name | Abriola Edgardo Sergio |
| Credentials | MD |
| Telephone Number | 5054724311 |
NPI Number Detail
| NPI Number | 1922039171 |
|---|---|
| Provider Enumeration Date | 2006-07-06 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 533 Lake Dr |
|---|---|
| City | Santa Rosa |
| State | New Mexico (NM) |
| Post Code | 88435 |
| Phone Number | 5054724311 |
| Fax Number | 5054724313 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 20020002 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 78150728 | NM | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Santa Rosa Medical Clinic by the Centers for Medicare & Medicaid Services?
The Santa Rosa Medical Clinic has been issued the NPI (National Provider Identifier) 1922039171, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Santa Rosa Medical Clinic's physical address?
The Santa Rosa Medical Clinic is physically located at 533 Lake Dr, in the city of Santa Rosa, NM, with the postal code 88435.
What is Santa Rosa Medical Clinic's area of expertise and its corresponding taxonomy classification?
The Santa Rosa Medical Clinic's field of specialization is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1922039171 to Santa Rosa Medical Clinic?
The Centers for Medicare & Medicaid Services assigned the 1922039171 to Santa Rosa Medical Clinic on 2006-07-06.
As of what date were the Santa Rosa Medical Clinic's details last updated?
The information pertaining to the Santa Rosa Medical Clinic, including its address, specialty, and other details, was most recently updated on 2020-08-22.