Picuris Medical Center
NPI #1598561318 in Penasco, New Mexico
Provider Information
- NPI Number
- 1598561318
- Entity Type
- Organization
- Organization Name
- Picuris Medical Center
- Primary Specialty
- Dentist
- Enumeration Date
- Feb 21, 2025
- Last Updated
- Nov 17, 2025
Practice Location
- Address
- 201 K-2 BUFFALO TRAIL ROAD
- City
- Penasco
- State
- New Mexico
- ZIP Code
- 87553
- Phone
- (575) 999-5796
Authorized Official
- Name
- JESSICA TAYLOR CHACON
- Title
- CLINICAL PRACTICE MANAGER
- Phone
- (505) 927-0918
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
| Dental Hygienist |
| Optometrist |
| Technician/Technologist - Optician — Optician |
| Community/Behavioral Health |
| Nurse Practitioner |
| Registered Nurse |
| Licensed Practical Nurse |
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Family Medicine |
| Occupational Therapist |
| Clinic/Center |
| Dentist |
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