Organization
DIVINE WELLNESS AND PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARISSA BALDONADO NP (OWNER/NP)
(505) 720-5212
Entity
Organization
Contact information
Practice address
2235 MAIN ST SE STE C, LOS LUNAS, NM 87031-8889
(505) 720-5212
Mailing address
2235 MAIN ST SE STE C, LOS LUNAS, NM 87031-8889
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/18/2026
Last updated
06/18/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up