UNMSOM 89 NPI 1396906798

NPI Information

  • NPI: 1396906798
  • Provider Name: UNMSOM 89
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: MIDTOWN FAMILY MEDICINE
  • CLIA Number: 32D1088217
  • Address: 1821 CARLISLE BLVD NE
    ALBUQUERQUE, NM
    ZIP 87110
  • Phone: (505) 255-1228

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NPI Details

UNMSOM 89 is a family medicine in Albuquerque, NM. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. UNMSOM 89 NPI is 1396906798. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Midtown Family Medicine.

The provider's business location address is:

1821 CARLISLE BLVD NE
ALBUQUERQUE, NM
ZIP 87110-905
Phone: (505) 255-1228
Fax: (505) 255-1394

The provider's authorized official is Donald J Ortiz .
The authorized official title is Partner and has the following contact phone number (505) 255-1228.

The CLIA number assigned to this NPI record is 32D1088217 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/19/2008 and was last updated on 4/7/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine03-136327-00-0NEW MEXICOYes

What is NPI?

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This page was last updated on: 11/21/2025

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