TANYA V MARIN, PC (NPI# 1720469679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720469679 |
| Entity Type | Organization |
| Organization Name | TANYA V MARIN, PC |
| Other Organization Name | SANTA TERESA CHILDREN'S NIGHT CLINIC |
| Practice Address |
1245 Country Club Rd Suite 200 Santa Teresa NM 88008-9743 |
| Practice Telephone | 5753324633 |
| Practice Fax Number | 5753324635 |
| Mailing Telephone | 5753324633 |
| Mailing Fax Number | 5753324635 |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2015-06-17 |
| Authorized Official Name | DR. TANYA VERONICA MARIN (PEDIATRIC NURSE PRACTITIONER/ OWNER) |
| Authorized Official Telephone | 5753324633 |
| Authorized Official Credential | DNP, APRN, CPNP- |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Santa Teresa Children's Night Clinic | Doing Business As Name - Organization |
| Street Address |
1245 COUNTRY CLUB RD SUITE 200 |
| City | SANTA TERESA |
| State | NM |
| Zip Code | 88008-9743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699799684 | Tanya Veronica Marin | Nurse Practitioner | 1245 Country Club Rd, Suite 200, Santa Teresa, NM 88008-9743 | 2006-07-26 |
| 1316339948 | Sandra L Shuya PC | Community/Behavioral Health | 1245 Country Club Rd, Ste. 200, Santa Teresa, NM 88008-9743 | 2015-02-18 |
| 1013286830 | Lorena Carrillo Henderson | Nurse Practitioner | 1245 Country Club Rd, Suite 200, Santa Teresa, NM 88008-9743 | 2011-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507211 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 5690 Santa Teresita Drive, Suite A2, Room P1, Santa Teresa, NM 88008 | 2020-10-27 |
| 1891848131 | Direct Healthcare South Inc | Home Health | 101 Livingston Loop, Suite 5, Santa Teresa, NM 88008 | 2007-01-19 |
| 1912061235 | Rio Valle Behavioral Health Centre | Psychiatry & Neurology | 101 Livinston Loop, Bldg C Suite 3, Santa Teresa, NM 88008 | 2006-12-21 |
| 1679634562 | Robert L Nichols | Family Medicine | 1300 Country Club Road, Santa Teresa, NM 88008 | 2006-12-13 |
| 1881792950 | Leo J Raschbaum Mdpc | Clinic/Center | 5690 Santa Teresita, Building A, Suite 4, Santa Teresa, NM 88008 | 2006-09-20 |
| 1366410276 | Emilio T. Rivera | Anesthesiology | 5290 Mcnutt Rd, Ste 109, Santa Teresa, NM 88008 | 2006-03-08 |
| 1225486194 | Diane Rivera | Registered Nurse | 101 Airport Road, Santa Teresa, NM 88008 | 2016-06-01 |
| 1780080358 | Audriana Apodaca | Nurse Practitioner | 100 Airport Rd, Santa Teresa, NM 88008 | 2014-11-10 |
| 1447667001 | Noha Oushy Eissa | Dentist | 103 Livingston Loop Ste B3, Santa Teresa, NM 88008 | 2014-07-16 |
| 1871963017 | Oralia Quezada | Student in an Organized Health Care Education/Training Program | 103 Livingston Loop, Bldg B, Suite 4, Santa Teresa, NM 88008-1063 | 2015-09-30 |
| Find all providers in zip 88008 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881792950 | Leo J Raschbaum Mdpc | Clinic/Center | 5690 Santa Teresita, Building A, Suite 4, Santa Teresa, NM 88008 | 2006-09-20 |
| 1700240991 | Denovo Clinical Specialists, P.C. | Clinic/Center | 1245 Country Club Rd Ste 200, Santa Teresa, NM 88008-9743 | 2016-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417591413 | Old Town Primary Care, Inc. | Clinic/Center | 501 14th St Nw, Albuquerque, NM 87104-1729 | 2019-11-01 |
| 1881251411 | Merit Family Medicine | Clinic/Center | 4020 Peggy Rd Se Ste D, Rio Rancho, NM 87124-1035 | 2019-05-20 |
| 1013464379 | Ortega Wellness, LLC | Clinic/Center | 2147 Cortina Loop Se, Rio Rancho, NM 87124-8935 | 2016-09-04 |
| 1699131938 | Leah Atkinson, Fnp, LLC | Clinic/Center | Hc 75 Box 1091, Los Ojos, NM 87551-9707 | 2015-12-31 |
| 1124499058 | Allied Health & Wellness, LLC | Clinic/Center | 3101 Boyd Dr, Carlsbad, NM 88220-4796 | 2015-10-19 |
| 1093186694 | The Nurses Touch Family Healthcare Practitioners | Clinic/Center | 808 W Manana Blvd, Clovis, NM 88101-3459 | 2015-10-08 |
| 1700269412 | Adler Medical LLC | Clinic/Center | 4241 Montgomery Blvd Ne, Albuquerque, NM 87109-1081 | 2015-06-30 |
| 1699165779 | Tlc Home Health Care, LLC | Clinic/Center | 110 S Halagueno St Ste 4, Carlsbad, NM 88220-5748 | 2015-01-28 |
| 1376931980 | Better Healing | Clinic/Center | 872 S Camino Del Pueblo Ste E, Bernalillo, NM 87004-5958 | 2015-01-05 |
| 1386040525 | Shiprock Clinic | Clinic/Center | 1 Mi E San Juan River Bridge Us Hwy 64, Shiprock, NM 87420 | 2014-11-17 |
| Find all providers with the same taxonomy | ||||
| City | SANTA TERESA |
| Zip Code | 88008 |
Please comment or provide details below to improve the information on TANYA V MARIN, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.