Organization
OPTUMCARE NEW MEXICO LLC
Active
Other names
DaVita Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY CASTILLO (ASSOCIATE DIRECTOR)
(702) 480-2550
Entity
Organization
Contact information
Practice address
2901 TRANSPORT ST SE, ALBUQUERQUE, NM 87106-4382
(505) 262-7000
(505) 262-7652
Mailing address
PO BOX 26028, ALBUQUERQUE, NM 87125-6028
(505) 262-7000
(505) 262-7652
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32D0685327
NM
Other
Enumeration date
07/11/2006
Last updated
03/29/2024
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