Matthew Jude Galatas

Individual provider Active NPI Emergency Registered Nurse · Tijeras, NM

NPI 1003752866 · NPPES record last updated Apr 24, 2026

Key facts

NPI
1003752866
Entity type
Individual (NPI type 1)
Primary specialty
Emergency Registered Nurse 163WE0003X
License
83189 (NM)
Practice address
31 Jack Rabbit Run
Tijeras, NM 87059-7325
Phone
(505) 385-5945
NPI assigned
Apr 24, 2026
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
83189NMMDEmergency Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 83189 NM Yes

Addresses

Primary practice location

31 Jack Rabbit Run
Tijeras, NM 87059-7325

Mailing address

31 Jack Rabbit Run
Tijeras, NM 87059-7325

Other providers in Tijeras, NM

All providers in Tijeras, NM · Emergency Registered Nurse in New Mexico

Sources for this page

Verify at the official NPI Registry.