Roxana Raicu, M.D.

Primary specialty

PsychoanalystTaxonomy code 102L00000X

License

2003-0100 Issued in NM

Legal business name

ROXANA RAICU, M.D.

Practice address

2204 Brothers Rd
Suite B
Santa Fe, NM 87505-6975

Phone

(505) 603-4480

Fax

(505) 807-0285

NPI assigned

Apr 25, 2016

Organization subpart

No

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

Authorized official

Name

Roxana G. Raicu, M.D.

Title

Owner

Phone

(505) 603-4480

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1194170324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CALIENTE RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875089167",
            "telephone_number": "505-603-4480",
            "fax_number": "505-807-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 BROTHERS RD",
            "address_2": "SUITE B",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056975",
            "telephone_number": "505-603-4480",
            "fax_number": "505-807-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROXANA RAICU, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-25",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "RAICU",
        "authorized_official_first_name": "ROXANA",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-603-4480",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychoanalyst",
            "state": "NM",
            "license": "2003-0100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucia Rotunno
• Ronald Rovner, MD
• Bradley Rowberry, MD
• Carmen Miranda Rowland
• Jianna Rowland
• Katherine Roxby, NP
• Bernadette Roybal, M.S., CCC-SP
• Deannette Roybal, LMHC
• Donna Roybal
• Emilio Roybal IX, LMHC

• Psychoanalyst in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Psychoanalyst in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.