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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

DIVINE WELLNESS AND PRIMARY CARE LLC
NPI 1396661641
Family Medicine in Los Lunas, NM

Active since June 29, 2026
2235 MAIN ST NE, STE F, LOS LUNAS, NM 87031(505) 720-5212 Get Directions Write a Review

NPPES record added: June 29, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Divine Wellness And Primary Care Llc NPPES

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

DIVINE WELLNESS AND PRIMARY CARE LLC (NPI 1396661641) is a healthcare organization registered as a family medicine in Los Lunas, New Mexico and active in the NPI registry since June 2026. The organization lists Larissa Baldonado, Owner, as its authorized official.

NPPES Registry Identity

NPI1396661641
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDIVINE WELLNESS AND PRIMARY CARE LLC
Location Address2235 MAIN ST NE, STE FLos Lunas, NM 87031
Mailing Address1700 Tesoro Loop NwLos Lunas, NM 87031-8963
Phone(505) 720-5212
Organization SubpartNo
Authorized OfficialLarissa BaldonadoOwner · (505) 720-5212
Enumeration DateJune 29, 2026
NPPES CertifiedJune 9, 2026
✔ NPI 1396661641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2235 MAIN ST NE, Los Lunas, NM 87031
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. STEPHEN LEANDER CHESHIRE III PH.D.
Psychologist (Prescribing (Medical))
2235 MAIN ST NE, SUITE C
LOS LUNAS, NM 87031
Valencia County (505) 916-0820

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 Divine Wellness And Primary Care LLC's NPI number?

The NPI number for Divine Wellness And Primary Care LLC is 1396661641. It was assigned to this organization in the NPPES registry on June 29, 2026.

Where is Divine Wellness And Primary Care LLC located?

Divine Wellness And Primary Care LLC is located at 2235 Main St NE Ste F, Los Lunas, NM 87031. The listed phone number is (505) 720-5212.

What is Divine Wellness And Primary Care LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Divine Wellness And Primary Care LLC was last updated on June 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.