Individual
SALVADOR BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6569 WINDING RIDGE LOOP, SANTA FE, NM 87507-3191
(505) 501-5953
Mailing address
6569 WINDING RIDGE LOOP, SANTA FE, NM 87507-3191
(505) 501-5953
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
57188
NM
363LF0000X
Family Nurse Practitioner
Primary
57188
NM
Other
Enumeration date
07/17/2025
Last updated
01/12/2026
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