Healthcare Provider Details

I. General information

NPI: 1962346312
Provider Name (Legal Business Name): BEE CREEK BUILDERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 CERRILLOS RD STE 201A
SANTA FE NM
87507-2696
US

IV. Provider business mailing address

1101 VUELTA DE LAS ACEQUIAS
SANTA FE NM
87507-7106
US

V. Phone/Fax

Practice location:
  • Phone: 505-469-8701
  • Fax: 505-469-8701
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State

VIII. Authorized Official

Name: DANIEL TREJO GARCIA
Title or Position: VICE-PRESIDENT
Credential:
Phone: 505-469-8701