Individual
DR. GERZAIN CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4001 RODEO RD, SANTA FE, NM 87507-4830
(505) 471-8994
(505) 473-1274
Mailing address
4001 RODEO RD, SANTA FE, NM 87507-4830
(505) 471-8994
(505) 473-1274
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
98-28
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202014955
PRESBYTERIAN HEALTH PLAN
—
01
—
2191728
UHC
—
01
—
NM029008
BCBS NM
NM
01
—
QMYPRO0074100
MOLINA
NM
05
—
T6682
—
NM
Enumeration date
08/31/2006
Last updated
09/03/2013
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