# DAVID M. MACIAS, M.D., PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609076504
- **Authorized official:** DR. DAVID M MACIAS M.D. (PRESIDENT)
- **Authorized official phone:** (505) 984-8206

## Contact information

- **Practice address:** 1925 ROSINA, SUITE D, SANTA FE, NM 87505-3355
- **Practice address phone:** (505) 984-8206
- **Practice address fax:** (505) 984-8274
- **Mailing address:** 1925 ROSINA, SUITE D, SANTA FE, NM 87505-3355
- **Mailing address phone:** (505) 984-8206
- **Mailing address fax:** (505) 984-8274

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | 76-228 | NM | Yes |

## Other

- **Enumeration date:** 07/19/2007
- **Last updated:** 07/20/2007