Individual
MARIO FRANCIS PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 455-1962
Mailing address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
87-369
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000810808701
PHCS
—
01
—
10003769
LOVELACE
—
01
—
201007496
PRESBYTERIAN HEALTH PLANS
—
05
—
20834
—
NM
01
—
2335628
UHC
—
01
—
3319351
CIGNA
—
01
—
NM012107
BCBS NM
NM
01
—
PROVP15451
MOLINA HEALTHCARE
—
Enumeration date
03/09/2006
Last updated
11/28/2011
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