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

Presbyterian Healthcare Services

Organization Emergency Medicine Physician · NPI 1164407052

Presbyterian Healthcare Services is an Emergency Medicine Physician in Angel Fire, New Mexico. Licensed in New Mexico. Registered with an NPI since 2005.

Licensed in
NM
In the registry since
2005
Specialties on file
3

Practice location Address checks out

11 Elliott Barker Ln
Angel Fire, NM 87710
Phone: (505) 337-3301
Fax: (505) 337-3991
Show map & directions

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

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 2005510 (NM)
Emergency Medicine Physician Taxonomy 207P00000X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1164407052
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Garcia — Vp Regional Operations · (505) 923-5339
Other names Moreno Valley Healthcare Clinic
NPI enumeratedDecember 13, 2005
Last updated in NPPESAugust 8, 2010
Mailing addressPo Box 26666, Provider Enrollment, Albuquerque, NM 87125-6666