Healthcare Provider Details

I. General information

NPI: 1609787472
Provider Name (Legal Business Name): EM SOFTWARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2026
Last Update Date: 09/12/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 HOSPITAL DR STE 200
SANTA FE NM
87505-4788
US

IV. Provider business mailing address

1650 HOSPITAL DR STE 200
SANTA FE NM
87505-4788
US

V. Phone/Fax

Practice location:
  • Phone: 209-201-9863
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ROBERT MASTALSKI II
Title or Position: FOUNDER
Credential:
Phone: 209-201-9863