Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Doctors of Santa Teresa PC

Organization Family Medicine Physician · NPI 1639121692

Doctors of Santa Teresa PC is a Family Medicine Physician in Santa Teresa, New Mexico. Licensed in New Mexico. Registered with an NPI since 2006.

Licensed in
NM
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5290 McNutt Rd
Santa Teresa, NM 88008-9648
Phone: (575) 589-1144
Fax: (575) 589-2008
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence CL00010400 (NM)

Record details

NPI number1639121692
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Larsen — Administrator · (575) 589-1144
NPI enumeratedMay 17, 2006
Last updated in NPPESJanuary 29, 2025
Certification dateJanuary 29, 2025
Mailing addressPo Box 1590, Santa Teresa, NM 88008-9648

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