Healthcare Provider Details

I. General information

NPI: 1902437817
Provider Name (Legal Business Name): PIECES FAMILY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2020
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2019 GALISTEO ST STE M5
SANTA FE NM
87505-2106
US

IV. Provider business mailing address

2255 CAMINO IRIS
SANTA FE NM
87505-4953
US

V. Phone/Fax

Practice location:
  • Phone: 505-982-0191
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ANGELA ORTIZ-FLORES
Title or Position: OWNER
Credential: MD
Phone: 505-982-0191