institution
Myo Cardiovascular Clinic Llc.
Medical Specialty Clinic/Center in Santa Fe, New Mexico
NPI 1912218207

Myo Cardiovascular Clinic Llc. is a Medical Specialty Clinic/Center based in Santa Fe, NM and is specialized in Medical Specialty. Myo Cardiovascular Clinic Llc. practices in Santa Fe, NM. The NPI Number for Myo Cardiovascular Clinic Llc. is 1912218207 and holds a License No. MD2005-0713 (New Mexico).

The current practice location address for Myo Cardiovascular Clinic Llc. is 1596 San Mateo Ln, Santa Fe, NM and can be reached out via phone at 505-670-3077 and via fax at 505-212-0229.

Location: 1596 San Mateo Ln, Santa Fe, NM, 87505-3918
institution
Provider Profile Details
NPI Number
1912218207
Provider Name
Myo Cardiovascular Clinic Llc.
Credential
Provider Entity Type
Organization
Address
1596 San Mateo Ln, Santa Fe, NM, 87505-3918
Phone Number
505-670-3077
Fax Number
505-212-0229
Provider Enumeration Date
07/01/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1912218207 01 NM ORGANIZATIONAL NPI
1952358376 01 INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
1596 San Mateo Ln
City
State
Zip
87505-3918
Phone Number
505-670-3077
Fax Number
505-212-0229
person
Provider Business Mailing Address Details
Address
1596 San Mateo Ln
City
State
Zip
87505-3918
Phone Number
505-670-3077
Fax Number
505-212-0229
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
License No.
MD2005-0713 (New Mexico)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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