Charles J Maestas (NPI# 1629109772, PAC ID# 6800923533) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1629109772 |
| PAC ID by PECOS | 6800923533 |
| Professional Enrollment ID | I20100428000587 |
| Full Name | Charles J Maestas |
| Address |
5 Petroglyph Cir B Santa Fe NM 87506-1001 |
| Gender | M |
| Medical School | UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 320002 | CHRISTUS ST VINCENT REGIONAL MEDICAL CENTER |
| 320011 | PRESBYTERIAN ESPANOLA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5 Petroglyph Cir B, Santa Fe, NM 87506-1001 |
| Street Address |
5 PETROGLYPH CIR B |
| City | SANTA FE |
| State | NM |
| Zip | 87506-1001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia M Brown | Psychologist, Clinical | 17713 Us Hwy 84 285, Santa Fe, NM 87506 | |
| Eric Payne | Physical Therapy | 17 Avenida Campo Verde, Santa Fe, NM 87506-0269 | |
| Mario Francis Pacheco | Family Medicine | St. Vincent Hospital | 5 Petroglyph Cir, Suite A, Santa Fe, NM 87506-1001 |
| Lori A Whittaker | Family Medicine | St. Vincent Hospital | 5 Petroglyph Cir, Suite A, Santa Fe, NM 87506-1001 |
| Robert C Rinaldi | Psychologist, Clinical | St. Vincent Hospital | 5 Petroglyph Cir, Suite A, Santa Fe, NM 87506-1001 |
| Tabitha Burns | Nurse Practitioner | St. Vincent Hospital | 5 Petroglyph Cir, Suite A, Santa Fe, NM 87506-1001 |
| Liana Ponce | Family Medicine | St. Vincent Hospital | 5 Petroglyph Cir, Suite A, Santa Fe, NM 87506-1001 |
| Anita P Gomez | Family Practice | St. Vincent Hospital | 5 Petroglyph Cir, Suite A, Santa Fe, NM 87506-1001 |
| Damien S Passalacqua | Chiropractic | 17713, Suite 285, Santa Fe, NM 87506-2668 | |
| Judith G Bent | Clinical Social Worker | 193 County Rd, Suite 113, Santa Fe, NM 87506-9718 | |
| Find all physicians in zip 87506 | |||
| City | SANTA FE |
| Zip Code | 87506 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SANTA FE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Charles J Maestas.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.