| Pieces Family Services | |
|
2019 Galisteo St Ste M5 Santa Fe NM 87505-2106 | |
| (505) 982-0191 | |
| Not Available |
| Full Name | Pieces Family Services |
|---|---|
| Speciality | Social Worker |
| Location | 2019 Galisteo St Ste M5, Santa Fe, New Mexico |
| Authorized Official Name and Position | Tomas Weiler (CONTRACTING MANAGER) |
| Authorized Official Contact | 5054332755 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pieces Family Services 2255 Camino Iris Santa Fe NM 87505-4953 Ph: () - | Pieces Family Services 2019 Galisteo St Ste M5 Santa Fe NM 87505-2106 Ph: (505) 982-0191 |
| NPI Number | 1902437817 |
|---|---|
| Provider Enumeration Date | 01/29/2020 |
| Last Update Date | 01/29/2020 |
| Certification Date | 01/29/2020 |
| Medicare PECOS PAC ID | 7315349289 |
|---|---|
| Medicare Enrollment ID | O20210714003409 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902437817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Secondary |
| Provider Name | Angela Ortiz Flores |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285818559 PECOS PAC ID: 2466774112 Enrollment ID: I20141208000737 |
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