OrganizationActive
Agnes Martinez Family Health Clinic
NPI 1205010881 · Health Service Clinic/Center · Mora, NM
Provider details
- NPI number
- 1205010881
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Bunker, Owner(505) 387-5503
- License
- 363LF0000X (NM)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
State Highway 518 Mile Marker 29
Mora, NM 87732-0185
Phone: (505) 387-5503
Fax: (505) 387-5502
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 185
Mora, NM 87732-0185
Registry dates
- Enumerated
- 2007-12-19
- Last updated
- 2007-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.