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

Santa Teresa Occmed Center, PC

Organization Family Medicine Physician · NPI 1164603619

Santa Teresa Occmed Center, PC is a Family Medicine Physician in Santa Teresa, New Mexico. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
3
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

5055 McNutt Rd
Santa Teresa, NM 88008-9442
Phone: (505) 589-5005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
General Practice Physician Taxonomy 208D00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1164603619
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rebecca Ayers — Administrative Assistant · (915) 842-0504
NPI enumeratedNovember 26, 2007
Last updated in NPPESNovember 26, 2007
Mailing address5055 McNutt Rd, Santa Teresa, NM 88008-9442

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