Healthcare Provider Details

I. General information

NPI: 1770228025
Provider Name (Legal Business Name): DEAN S RINGEL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2022
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 SAINT MICHAELS DR
SANTA FE NM
87505-7601
US

IV. Provider business mailing address

330 GARFIELD ST STE 202
SANTA FE NM
87501-2677
US

V. Phone/Fax

Practice location:
  • Phone: 505-913-3934
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD2026-0646
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: