Healthcare Provider Details

I. General information

NPI: 1457523656
Provider Name (Legal Business Name): MAC-ELDER HILAIRE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: MAC-ELDER HILAIRE TOUSSAINT MD

II. Dates (important events)

Enumeration Date: 03/27/2008
Last Update Date: 11/23/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 ABALONE LOOP MESCALERO HOSPITAL
MESCALERO NM
88340
US

IV. Provider business mailing address

1 ABALONE LOOP MESCALERO HOSPITAL
MESCALERO NM
88340
US

V. Phone/Fax

Practice location:
  • Phone: 575-464-4441
  • Fax: 575-464-4422
Mailing address:
  • Phone: 575-464-4441
  • Fax: 575-464-4422

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number16729
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code207QA0000X
TaxonomyAdolescent Medicine (Family Medicine) Physician
License Number16729
License Number StatePR
# 3
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number16729
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: