Healthcare Provider Details

I. General information

NPI: 1740266097
Provider Name (Legal Business Name): THE PROMPT INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4001 OFFICE CT SUITE 305
SANTA FE NM
87507-4929
US

IV. Provider business mailing address

4001 OFFICE COURT DRIVE SUITE 305
SANTA FE NM
87507
US

V. Phone/Fax

Practice location:
  • Phone: 505-466-7701
  • Fax: 504-466-7714
Mailing address:
  • Phone: 505-466-7701
  • Fax: 504-466-7714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number90929
License Number StateNM

VIII. Authorized Official

Name: MR. BILL SORTINO
Title or Position: ADMINISTRATIVE MANAGER
Credential:
Phone: 505-466-7710