NPIMap

Organization Active NPI

Corazon Family Health PC

  • Family Medicine Physician
  • Santa Fe, NM
National Provider Identifier
1295847747
Registry record updated Oct 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CORAZON FAMILY HEALTH PC
Practice address
3600 Rodeo LN
Suite A1
Santa Fe, NM 87507-6400
Phone
(505) 474-6097
Fax
(505) 471-4503
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2009

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

Authorized official

Name
Miss Lisa Gurule
Title
Billing Manager
Phone
(505) 474-6097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3600 Rodeo LN
Suite A1
Santa Fe, NM 87507-6400

Mailing address

3600 Rodeo LN Ste A2
Santa Fe, NM 87507-5800
Phone (505) 629-4400

Other identifiers 1

IdentifierTypeStateIssuer
50901265MedicaidNM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256083200000",
    "number": "1295847747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 RODEO LN STE A2",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875075800",
            "telephone_number": "505-629-4400",
            "fax_number": "505-474-4277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 RODEO LN",
            "address_2": "SUITE A1",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875076400",
            "telephone_number": "505-474-6097",
            "fax_number": "505-471-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAZON FAMILY HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-10-21",
        "status": "A",
        "authorized_official_last_name": "GURULE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "505-474-6097",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50901265",
            "state": "NM"
        }
    ],
    "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 Oct 21, 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.