Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MAYEDEL A SAN JOSE PC
Active OrganizationMAYEDEL A SAN JOSE PC is a Family Nurse Practitioner organization located in SANTA TERESA, New Mexico. NPI 1083305510 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · SANTA TERESA, NM
Registration Details
- NPI Number
- 1083305510
- Provider Type
- Organization
- NPI Issued
- May 16, 2023 (3.2338859560742 yrs)
- Last Updated
- Sep 25, 2025
Practice Information
- Address
-
1245 COUNTRY CLUB RD STE 200SANTA TERESA, NM, 880089743Browse NM providers · Browse ZIP 88008
- Phone
- 5753324633
- Fax
- 8772098941
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.