Mayedel a San Jose PC
Mayedel a San Jose PC is a Health Service Clinic/Center in Santa Teresa, New Mexico. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1245 Country Club Rd Ste 200Santa Teresa, NM 88008-9743
Phone: (575) 332-4633
Fax: (877) 209-8941
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X |
|---|---|
| Health Service Clinic/Center | Taxonomy 261QH0100X |
Record details
| NPI number | 1083305510 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mayedel San Jose — Owner · (575) 332-4633 |
| Other names | San Jose Wellness Center; San Jose Wellness Center |
| NPI enumerated | May 16, 2023 |
| Last updated in NPPES | September 25, 2025 |
| Certification date | September 25, 2025 |
| Mailing address | 1245 Country Club Rd Ste 200, Santa Teresa, NM 88008-9743 |