Picuris Medical Center is a dental clinic (Dentist) in Penasco, New Mexico. The current practice location for Picuris Medical Center is 201 K-2 Buffalo Trail Road, Penasco, New Mexico. For appointments, you can reach them via phone at
(575) 999-5796. The mailing address for Picuris Medical Center is Po Box 127, 201 K 2 Buffalo Trail Rd, Penasco, New Mexico and phone number is (505) 927-0918.
Picuris Medical Center is licensed to practice in * (Not Available) (license number ) and its
NPI number is 1598561318. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(575) 999-5796.
Dental Care Clinic Profile
| Full Name | Picuris Medical Center |
|---|
| Speciality | Dentist |
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| Location | 201 K-2 Buffalo Trail Road, Penasco, New Mexico |
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| Authorized Official Name and Position | Jessica Taylor Chacon (CLINICAL PRACTICE MANAGER) |
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| Authorized Official Contact | 5059270918 |
|---|
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Picuris Medical Center
Po Box 127
201 K 2 Buffalo Trail Rd
Penasco
NM 87553-0127
Ph: (505) 927-0918 | Picuris Medical Center
201 K-2 Buffalo Trail Road
Penasco
NM 87553
Ph: (575) 999-5796 |
NPI Details:
| NPI Number | 1598561318 |
|---|
| Provider Enumeration Date | 02/21/2025 |
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| Last Update Date | 11/17/2025 |
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Medical Identifiers
Medical identifiers for Picuris Medical Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598561318 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 124Q00000X | Dental Hygienist | (* (Not Available)) | Secondary |
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 156FX1800X | Technician/technologist - Optician | (* (Not Available)) | Secondary |
| 163W00000X | Registered Nurse | (* (Not Available)) | Secondary |
| 164W00000X | Licensed Practical Nurse | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 332800000X | Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy | (* (Not Available)) | Secondary |
| 3336C0003X | Pharmacy - Community/retail Pharmacy | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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