MEDICARE: SANTIAGO R. MACIAS MD

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
1	207Q00000X	Family Medicine Physician	MD2004-0045	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154328094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANTIAGO R. MACIAS MD

Provider Business Mailing Address
First Line	:	PO BOX 26666
Second Line	:	PHS PROVIDER ENROLLMENT
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87125-6666
Country	:	US
Telephone Number	:	505-923-6770
Fax Number	:	505-923-5354

Provider Business Practice Location Address
First Line	:	2001 EL CENTRO FAMILIAR BLVD SW
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87105-4592
Country	:	US
Telephone Number	:	505-873-7400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	05/07/2018

Similar Medicare Providers

1215525902 — AUGUST VOJDANI PA-C
Practice Location Address:

4588 PARADISE BLVD NW , MEDICARE ADVANTAGE CLINIC
ALBUQUERQUE, NM
87114-4105

Practice Phone: 505-998-1840
Practice Fax: 505-998-1841

1538160353 — DR. ELIZABETH KILGOUR HAWKES M.D.
Practice Location Address:

2001 EL CENTRO FAMILIAR BLVD SW
ALBUQUERQUE, NM
87105-4592

Practice Phone: 505-873-7400
Practice Fax:

1588646939 — ILAH R JONES CNP
Practice Location Address:

2001 CENTRO FAMILIAR BLVD SW
ALBUQUERQUE, NM
87105-4592

Practice Phone: 505-873-7462
Practice Fax: 505-873-7444

1306828884 — LETITIA MCCARTHY-CLIFFORD DDS
Practice Location Address:

2001 EL CENTRO FAMILIAR BLVD SW
ALBUQUERQUE, NM
87105-4592

Practice Phone: 505-873-7400
Practice Fax: 505-224-8767

1710961784 — VERNA MONTOYA RDH
Practice Location Address:

2001 CENTRO FAMILIAR BLVD SW
ALBUQUERQUE, NM
87105-4592

Practice Phone: 505-873-7462
Practice Fax: 505-873-7444

1659344729 — ANNE A FITZPATRICK
Practice Location Address:

2001 CENTRO FAMILIAR BLVD SW
ALBUQUERQUE, NM
87105-4592

Practice Phone: 505-873-7462
Practice Fax:

Directions to “ SANTIAGO R. MACIAS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.