| Infinity Wellness Llc | |
|
1713 Nm 502 Santa Fe NM 87506-8931 | |
| (505) 500-8356 | |
| (505) 500-8443 |
| Full Name | Infinity Wellness Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1713 Nm 502, Santa Fe, New Mexico |
| Authorized Official Name and Position | Carmen Solano (OWNER) |
| Authorized Official Contact | 5055008356 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infinity Wellness Llc 1713 Nm 502 Santa Fe NM 87506-8931 Ph: (505) 500-8356 | Infinity Wellness Llc 1713 Nm 502 Santa Fe NM 87506-8931 Ph: (505) 500-8356 |
| NPI Number | 1912486390 |
|---|---|
| Provider Enumeration Date | 08/07/2018 |
| Last Update Date | 01/25/2024 |
| Medicare PECOS PAC ID | 3274944947 |
|---|---|
| Medicare Enrollment ID | O20201201002994 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912486390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 2003-0479 (New Mexico) | Primary |
| Provider Name | Carmen M Solano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831122332 PECOS PAC ID: 5698668358 Enrollment ID: I20040205000909 |
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