# SANTA FE SPINE AND WELLNESS LLC

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

## Provider details

- **NPI number:** 1437067477
- **Authorized official:** JUSTIN AVERNA DO (OWNER / PHYSICIAN)
- **Authorized official phone:** (267) 808-3189

## Contact information

- **Practice address:** 353 E LA ENTRADA, CORRALES, NM 87048-7647
- **Practice address phone:** (267) 808-3189
- **Mailing address:** 353 E LA ENTRADA, CORRALES, NM 87048-7647
- **Mailing address phone:** (267) 808-3189

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/31/2026
- **Last updated:** 08/31/2026
