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JUAN TABO FAMILY MEDICINE PC
NPI 1073825816
Clinic/Center - Primary Care in Albuquerque, NM

Active since July 09, 2010
3309 JUAN TABO BLVD NE, SUITE C, ALBUQUERQUE, NM 87111(505) 554-1786(505) 508-2482 Get Directions Write a Review

NPPES record last updated: July 9, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Juan Tabo Family Medicine Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUAN TABO FAMILY MEDICINE PC (NPI 1073825816) is a healthcare organization registered as a primary care in Albuquerque, New Mexico and active in the NPI registry since July 2010. The organization lists Ben Muneta, Registered Agent, as its authorized official.

NPPES Registry Identity

NPI1073825816
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameJUAN TABO FAMILY MEDICINE PC
Location Address3309 JUAN TABO BLVD NE, SUITE CAlbuquerque, NM 87111-5131
Mailing Address3309 Juan Tabo Blvd Ne, Suite CAlbuquerque, NM 87111-5131 · (505) 554-1786 · Fax (505) 508-2482
Phone(505) 554-1786
Fax(505) 508-2482
Organization SubpartNo
Authorized OfficialBen MunetaRegistered Agent · (505) 554-1786
Enumeration DateJuly 9, 2010
✔ NPI 1073825816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in NM · MD2007-0072
3309 JUAN TABO BLVD NE, Albuquerque, NM 87111
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Other Identifiers 1

Other1477790327NM · Current Provider Number

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MONICA BOEHMER DDS
Dentist (General Practice)
3309 JUAN TABO BLVD NE, SUITE A
ALBUQUERQUE, NM 87111
Bernalillo County (505) 271-8009
DR. BARBARA L WENICUR II
Dentist (General Practice)
3309 JUAN TABO BLVD NE, SUITE B
ALBUQUERQUE, NM 87111
Bernalillo County (505) 292-8310

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Juan Tabo Family Medicine PC's NPI number?

The NPI number for Juan Tabo Family Medicine PC is 1073825816. It was assigned to this organization in the NPPES registry on July 9, 2010.

Where is Juan Tabo Family Medicine PC located?

Juan Tabo Family Medicine PC is located at 3309 Juan Tabo Blvd NE Suite C, Albuquerque, NM 87111. The listed phone number is (505) 554-1786.

What is Juan Tabo Family Medicine PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Juan Tabo Family Medicine PC was last updated on July 9, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.