SANTA TERESA MEDICAL CARE CENTER
NPI 1669459947
Family Medicine in Santa Teresa, NM

NPI Status: Active since December 28, 2005

Contact Information

5055 MCNUTT RD
SANTA TERESA, NM
ZIP 88008
Phone: (575) 589-5005
Fax: (575) 589-1333

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  • Organization
  • Family Medicine

About SANTA TERESA MEDICAL CARE CENTER

This page provides the complete NPI Profile along with additional information for Santa Teresa Medical Care Center, a primary care provider established in Santa Teresa, New Mexico operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1669459947 assigned on December 2005. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. Santa Teresa Medical Care Center operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's other name is Santa Teresa Medical Care Center. The authorized official of this NPI record is Mr. Laurence Juarez (Administrator)

NPI
1669459947
Provider Legal Name
SANTA TERESA MEDICAL CARE CENTER PC
Other Organization Name
SANTA TERESA MEDICAL CARE CENTER
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
5055 MCNUTT RD SANTA TERESA, NM 88008
Location Phone
(575) 589-5005
Location Fax
(575) 589-1333
Mailing Address
5055 MCNUTT RD PO BOX 5 SANTA TERESA, NM 88008
Mailing Phone
(575) 589-5005
Mailing Fax
(575) 589-1333
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-28-2005
Last Update Date
07-30-2013
Code Navigator

A primary care provider (PCP) like Santa Teresa Medical Care Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. LAURENCE JUAREZ

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(915) 842-0504

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
CS9566OTHER (01)NMPALMETTO GBA
0733024-01MEDICAID (05)TX 
300521013MEDICARE PIN (08)NM 
49189MEDICAID (05)NM 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1669459947
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26129851898
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 2 + 9 + 8 + 5 + 1 + 8 + 9 + 8 + 24 = 83
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
90 - 83 = 77

The NPI number 1669459947 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1699766816 ALFRED BASIL VARELA M.D,
Individual
Specialist5055 MCNUTT RD
SANTA TERESA, NM 88008
(505) 589-5005
1982610580MR. CARLOS RAFAEL MONTES MPT
Individual
Physical Therapist5055 MCNUTT RD
SANTA TERESA, NM 88008
(505) 589-5005
1164603619SANTA TERESA OCCMED CENTER, PC
Organization
Family Medicine5055 MCNUTT RD
SANTA TERESA, NM 88008
(505) 589-5005
1861483083DR. HENRY CALDERONI MD
Individual
Family Medicine5055 MCNUTT RD
SANTA TERESA, NM 88008
(575) 589-5005
1558325969DR. DOUGLAS ZISCHKAU MD
Individual
Family Medicine5055 MCNUTT RD
SANTA TERESA, NM 88008
(575) 589-5005
1306464615PETER SANGRA MD LLC
Organization
Psychiatry & Neurology (Child & Adolescent Psychiatry)5055 MCNUTT RD
SANTA TERESA, NM 88008
(575) 589-3000
1265873947 PETER K. SANGRA MD
Individual
Psychiatry & Neurology (Psychiatry)5055 MCNUTT RD
SANTA TERESA, NM 88008
(575) 589-3000
1023068012 MARIO VELA FNP, DNP
Individual
Nurse Practitioner (Family)5055 MCNUTT RD
SANTA TERESA, NM 88008
(575) 589-5005
1144757063SANTA TERESA FAMILY MEDICAL CENTER
Organization
Clinic/Center5055 MCNUTT RD
SANTA TERESA, NM 88008
(575) 589-5005
1679053722 TAMRA RENAE VARELA FNP-C
Individual
Nurse Practitioner5055 MCNUTT RD
SANTA TERESA, NM 88008
(575) 589-5005

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669459947, enumerated in the NPI registry as an "organization" on December 28, 2005

The provider is located at 5055 Mcnutt Rd Santa Teresa, Nm 88008 and the phone number is (575) 589-5005

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on December 28, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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