MEDICARE: NEW MEXICO DEPARTMENT OF HEALTH

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	251K00000X	Public Health or Welfare Agency

General Provider Information

NPI Number	:	1578609459
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW MEXICO DEPARTMENT OF HEALTH

Provider Business Mailing Address
First Line	:	PO BOX 26110
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87502-0110
Country	:	US
Telephone Number	:	505-827-2465
Fax Number	:	505-827-2465

Provider Business Practice Location Address
First Line	:	1190 S SAINT FRANCIS DR
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87505-4173
Country	:	US
Telephone Number	:	505-827-2465
Fax Number	:	505-827-2465

Authorized Official
Title or Position	:	IMMUNIZATION PROGRAM MANAGER
Name	:	ANDREA ROMERO
Credential	:
Telephone Number	:	505-827-2465

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	02/12/2026

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Directions to “NEW MEXICO DEPARTMENT OF HEALTH ” Practice Location

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