# MEDICAL REHAB CENTER OF NEW MEXICO PA

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

## Provider details

- **NPI number:** 1932120052
- **Authorized official:** STEFANIE ROYCE (OFFICE TEAM LEAD)
- **Authorized official phone:** (505) 338-2077

## Contact information

- **Practice address:** 3874 MASTHEAD NE, BLDG G, ALBUQUERQUE, NM 87109-4479
- **Practice address phone:** (505) 338-2077
- **Practice address fax:** (505) 338-1960
- **Mailing address:** 3874 MASTHEAD NE, BLDG G, ALBUQUERQUE, NM 87109-4479
- **Mailing address phone:** (505) 338-2077
- **Mailing address fax:** (505) 338-1960

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 94364 | NM | Yes |

## Other

- **Enumeration date:** 07/22/2006
- **Last updated:** 12/07/2010