Provider Profile

Unclaimed Profile

At a glance

About

is a healthcare provider in Los Lunas, NM specializing in family medicine. This provider record is associated with NPI 1396661641.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Family Medicine (Primary)

Credentials & Licensing

NPINational Provider Identifier
1396661641Issued 2026

As reported to the NPI registry ↗

Common questions

What does specialize in?

is a family doctor in Los Lunas, NM. That is the designation recorded for this NPI in the federal registry, where it is listed as “Family Medicine”.

NPI registry

Where is located?

is listed at 2235 Main St Ne Ste F, Los Lunas, NM 87031. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is 's phone number?

The number on file is (505) 720-5212. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for ?

's National Provider Identifier is 1396661641. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Is 's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by . If this is you, claiming it is free.

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