institution
Sunrise Medical Group, Pc
Primary Care Clinic/Center in Santa Rosa, New Mexico
NPI 1124107446

Sunrise Medical Group, Pc is a Primary Care Clinic/Center based in Santa Rosa, NM and is specialized in Primary Care. Sunrise Medical Group, Pc practices in Santa Rosa, NM. The NPI Number for Sunrise Medical Group, Pc is 1124107446 and holds a License No. 6794 (New Mexico).

The current practice location address for Sunrise Medical Group, Pc is 552 Highway 54, Santa Rosa, NM and can be reached out via phone at 505-433-5572 and via fax at 877-651-1259.

Location: 552 Highway 54, Santa Rosa, NM, 88435-2215
institution
Provider Profile Details
NPI Number
1124107446
Provider Name
Sunrise Medical Group, Pc
Credential
Provider Entity Type
Organization
Address
552 Highway 54, Santa Rosa, NM, 88435-2215
Phone Number
505-433-5572
Fax Number
877-651-1259
Provider Enumeration Date
11/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
600521016 01 MEDICARE GROUP ID
00074686 05 NM
1124107446 01 NM GROUP NPI
6794 01 NM NM HEALTH DEPT. NO.
institution
Provider Business Practice Location Address Details
Address
552 Highway 54
City
State
Zip
88435-2215
Phone Number
505-433-5572
Fax Number
877-651-1259
person
Provider Business Mailing Address Details
Address
552 Highway 54
City
State
Zip
88435-2215
Phone Number
505-433-5572
Fax Number
877-651-1259
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
6794 (New Mexico)
Definition
Definition to come...
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