Organization Active NPI

Rosalita LLC

  • Community Health Clinic/Center
  • Santa Fe, NM
National Provider Identifier
1174859136
Registry record updated Nov 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
502 Issued in NM
Legal business name
ROSALITA LLC
Practice address
518 Old Santa Fe TRL # 171
Santa Fe, NM 87505-0398
Phone
(505) 204-1239
NPI assigned
Oct 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Feral A Macloud, DOMNPI 1245565381
Title
Doctor of Oriental Medicine
Phone
(505) 204-1239

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 502 NM Primary

Addresses

Primary practice location

518 Old Santa Fe TRL # 171
Santa Fe, NM 87505-0398

Mailing address

518 Old Santa Fe TRL # 171
Santa Fe, NM 87505-0398
Phone (505) 204-1239

National Provider Directory

National Provider Directory

Locations

518 Old Santa Fe Trl
#171
Santa Fe, NM 87505
Phone (505) 204-1239

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257120000000",
    "number": "1174859136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 OLD SANTA FE TRL # 171",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875050398",
            "telephone_number": "505-204-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 OLD SANTA FE TRL # 171",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875050398",
            "telephone_number": "505-204-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSALITA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-27",
        "last_updated": "2009-11-02",
        "status": "A",
        "authorized_official_last_name": "MACLOUD",
        "authorized_official_first_name": "FERAL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR OF ORIENTAL MEDICINE",
        "authorized_official_telephone_number": "505-204-1239",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DOM"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NM",
            "license": "502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.