Healthcare Provider Details

I. General information

NPI: 1083607634
Provider Name (Legal Business Name): JULIANNA JEAN REECE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIANNA JEAN MARTINEZ

II. Dates (important events)

Enumeration Date: 08/30/2005
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

129 MEDICINE HORSE DR
TOHAJIILEE NM
87026-5145
US

IV. Provider business mailing address

800 BRADBURY DR SE STE 116
ALBUQUERQUE NM
87106-4310
US

V. Phone/Fax

Practice location:
  • Phone: 505-908-2307
  • Fax: 505-908-2310
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA81004
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD2017-0490
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: