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NPI Code Detail

MEDICARE: ALTOMAR NEW MEXICO, LLC.

MEDICARE: ALTOMAR NEW MEXICO, LLC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency3224NM

General Provider Information

NPI Number : 1063469682
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALTOMAR NEW MEXICO, LLC.
Provider Business Mailing Address
First Line : 5312 RIO BRAVO DR
Second Line : SUITE 6
City : SANTA TERESA
State : NM
Zip : 88008-9210
Country : US
Telephone Number : 575-874-2211
Fax Number : 575-874-2212
Provider Business Practice Location Address
First Line : 5312 RIO BRAVO DR
Second Line : SUITE 6
City : SANTA TERESA
State : NM
Zip : 88008-9210
Country : US
Telephone Number : 575-874-2211
Fax Number : 575-874-2212
Authorized Official
Title or Position : ADMINISTRATOR
Name : ELIZA SYLVIA MARTINEZ
Credential :
Telephone Number : 575-874-2211
Provider Enumeration Date : 05/28/2006
Last Update Date : 09/10/2025

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Directions to “ALTOMAR NEW MEXICO, LLC. ” Practice Location

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