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HomeProvidersDIVINE WELLNESS AND PRIMARY CARE LLC

Family Medicine

DIVINE WELLNESS AND PRIMARY CARE LLC

Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.

Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.

Public record

NPI 1811823800 · enumerated 2026-06-18 · record updated 2026-09-16. Source: CMS NPPES. A listing is not a TRICARE network approval.

NPPES record Google Maps Apple Maps OpenStreetMap

Authorized official: LARISSA BALDONADO NP, Owner/NP · (505) 631-0019

Addresses and phones

Mailing address 111 SANDOVAL RD SW, LOS LUNAS, NM, 87031-7320 (505) 631-0019 Fax (505) 631-0020 Google Maps Apple Maps OpenStreetMap
Practice location 111 SANDOVAL RD SW, LOS LUNAS, NM, 87031-7320 (505) 631-0019 Fax (505) 631-0020 Google Maps Apple Maps OpenStreetMap

Specialties

Family Medicine 207Q00000X · Primary

In this directory

NM Valencia County Los Lunas Family Medicine

Locations and evidence

Practice location LOS LUNAS, NM, 870317320
Accepting new patientsNot reportedCMS NPPES · September 30, 2026

Plan acceptance

No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.