# SANTA FE PAIN & SPINE SPECIALISTS PC

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

## Provider details

- **NPI number:** 1700814316
- **Authorized official:** ANDREA ACOSTA (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (505) 291-2770

## Contact information

- **Practice address:** 4100 HIGH RESORT BLVD SE, SUITE 215, RIO RANCHO, NM 87124-5901
- **Practice address phone:** (505) 191-2770
- **Practice address fax:** (505) 395-7551
- **Mailing address:** PO BOX 65949, ALBUQUERQUE, NM 87193-5949
- **Mailing address phone:** (505) 191-2770
- **Mailing address fax:** (505) 395-7551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 0603127 | NM | Yes |

## Other

- **Enumeration date:** 06/30/2006
- **Last updated:** 07/25/2016