# PEDIATRIX MEDICAL GROUP OF NEW MEXICO, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235236944
- **Authorized official:** NANETTE SANDERS (ASSISTANT SECRETARY)
- **Authorized official phone:** (954) 384-0175

## Contact information

- **Practice address:** 1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
- **Practice address phone:** (505) 841-1994
- **Practice address fax:** (505) 563-6390
- **Mailing address:** 1301 CONCORD TER, SUNRISE, FL 33323-2843
- **Mailing address phone:** (954) 384-0175
- **Mailing address fax:** (954) 851-1948

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | NULL | Yes |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | — | Yes |
| 363LN0000X | Neonatal Nurse Practitioner | — | NULL | — |
| 363LN0000X | Neonatal Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/17/2006
- **Last updated:** 04/07/2025
