SANTIAGO R. MACIAS

ALBUQUERQUE, NM
NPI1154328094
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NM  MD2004-0045)
Enumeration Date2005-07-07
Last Update Date2018-05-07
Business Address
-- SANTIAGO R. MACIAS MD
2001 EL CENTRO FAMILIAR BLVD SW
ALBUQUERQUE, NM 87105-4592
Phone number: 505-873-7400
Mailing Address
-- SANTIAGO R. MACIAS MD
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-6770