| Eldorado Family Health Llc | |
|
7 Caliente Rd Unit B1 Santa Fe NM 87508-3104 | |
| (505) 216-7772 | |
| Not Available |
| Full Name | Eldorado Family Health Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 7 Caliente Rd Unit B1, Santa Fe, New Mexico |
| Authorized Official Name and Position | Warren Goldenberg (OWNER) |
| Authorized Official Contact | 5052704132 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eldorado Family Health Llc 7 Caliente Rd Unit B1 Santa Fe NM 87508-3104 Ph: (505) 216-7772 | Eldorado Family Health Llc 7 Caliente Rd Unit B1 Santa Fe NM 87508-3104 Ph: (505) 216-7772 |
| NPI Number | 1326546177 |
|---|---|
| Provider Enumeration Date | 01/26/2018 |
| Last Update Date | 01/26/2018 |
| Medicare PECOS PAC ID | 2668720962 |
|---|---|
| Medicare Enrollment ID | O20180802001728 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326546177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Katherine D Seluja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285824201 PECOS PAC ID: 3779640487 Enrollment ID: I20090325000247 |
| Provider Name | Warren C Goldenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497053706 PECOS PAC ID: 6406025808 Enrollment ID: I20110801000434 |
| Provider Name | Edward R Lobaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588686158 PECOS PAC ID: 5597900837 Enrollment ID: I20130314000454 |
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