Organization
NEW MEXICO ORTHOPAEDIC ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY W RACCA M.D. (PRESIDENT)
(505) 724-4300
Entity
Organization
Contact information
Practice address
2100 LOUISIANA BLVD NE STE 410, ALBUQUERQUE, NM 87110-5412
(505) 724-4300
(505) 724-4384
Mailing address
2100 LOUISIANA BLVD NE STE 410, ALBUQUERQUE, NM 87110-5412
(505) 724-4300
(505) 724-4384
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00048306
—
NM
01
—
5369920001
MEDICARE NSC
NM
Enumeration date
06/13/2006
Last updated
09/20/2023
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