| Family Practice Associates | |
|
465 Saint Michaels Dr # 240 Santa Fe NM 87505-7670 | |
| (505) 988-1232 | |
| (505) 984-1603 |
| Full Name | Family Practice Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 465 Saint Michaels Dr # 240, Santa Fe, New Mexico |
| Authorized Official Name and Position | Lillian Montoya (PRESIDENT CEO) |
| Authorized Official Contact | 5059135201 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Associates 465 Saint Michaels Dr Ste 230 Santa Fe NM 87505-8602 Ph: (505) 913-4710 | Family Practice Associates 465 Saint Michaels Dr # 240 Santa Fe NM 87505-7670 Ph: (505) 988-1232 |
| NPI Number | 1245438647 |
|---|---|
| Provider Enumeration Date | 07/06/2007 |
| Last Update Date | 06/11/2020 |
| Certification Date | 06/11/2020 |
| Medicare PECOS PAC ID | 6608775135 |
|---|---|
| Medicare Enrollment ID | O20240827001768 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245438647 | NPI | - | NPPES |
| 48853321 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Apple Long |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1992246250 PECOS PAC ID: 0648640987 Enrollment ID: I20230606002012 |
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