Pojoaque Family Practice, P.a.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

000 Issued in NM

Legal business name

POJOAQUE FAMILY PRACTICE, P.A.

Practice address

5 Petroglyph Cir
Ste. B
Santa Fe, NM 87506-1001

Phone

(505) 455-2842

Fax

(505) 455-2941

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Charles James Maestas, M.D.

Title

President/Physician

Phone

(505) 455-2842

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271376000000",
    "number": "1326145707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 W GUTIERREZ UNIT 3810",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875060228",
            "telephone_number": "505-455-2842",
            "fax_number": "505-455-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PETROGLYPH CIR",
            "address_2": "STE. B",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875061001",
            "telephone_number": "505-455-2842",
            "fax_number": "505-455-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POJOAQUE FAMILY PRACTICE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-04-16",
        "status": "A",
        "authorized_official_last_name": "MAESTAS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "505-455-2842",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NM",
            "license": "000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07930",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Plan 9 Ventures LLC
• Planned Parenthood of the Rocky Mountains
• William H Plauth III, MD
• Jonathan Plaza, DDS
• Irene S Pluimmentz, P.T.
• Pojoaque Valley Schools
• Kourtnie Polanco
• Randall Adam Polgar, D.C.
• Armando A. Pollack, M.S.W.
• Mikaela C Ponca-Montoya, CCSS

• Health Service Clinic/Center in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Health Service Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; 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.