MEDICARE: SANTA MARIA P.C. DBA CAREMORE CHIROPRACTIC CENTERS

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	111N00000X	Chiropractor		NM

General Provider Information

NPI Number	:	1538173463
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANTA MARIA P.C. DBA CAREMORE CHIROPRACTIC CENTERS

Provider Business Mailing Address
First Line	:	2622 SAN MATEO BLVD NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87110-3130
Country	:	US
Telephone Number	:	505-888-0331
Fax Number	:	505-888-1414

Provider Business Practice Location Address
First Line	:	2622 SAN MATEO BLVD NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87110-3130
Country	:	US
Telephone Number	:	505-888-0331
Fax Number	:	505-888-1414

Authorized Official
Title or Position	:	MANAGER
Name	:	SHERRY HOOD
Credential	:
Telephone Number	:	505-888-0331

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	12/23/2010

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