Organization
PEDIATRIX MEDICAL GROUP OF NEW MEXICO, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANETTE SANDERS (ASSISTANT SECRETARY)
(954) 384-0175
Entity
Organization
Contact information
Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 841-1994
(505) 563-6390
Mailing address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(954) 384-0175
(954) 851-1948
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
363LN0000X
Neonatal Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P3595
—
NM
Enumeration date
09/17/2006
Last updated
04/07/2025
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