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PANGEA MEDICAL LLC
NPI 1457619934
Clinic/Center - Adult Mental Health in Roswell, NM

Active since May 02, 2012
2604 GAYE DR, ROSWELL, NM 88201(575) 578-4548 Get Directions Write a Review

NPPES record last updated: May 2, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pangea Medical Llc NPPES

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

PANGEA MEDICAL LLC (NPI 1457619934) is a healthcare organization registered as an adult mental health in Roswell, New Mexico and active in the NPI registry since May 2012. The organization lists Steven Ray Black, M.d., as its authorized official.

NPPES Registry Identity

NPI1457619934
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NamePANGEA MEDICAL LLC
Location Address2604 GAYE DRRoswell, NM 88201-3427
Mailing Address2604 Gaye DrRoswell, NM 88201-3427 · (575) 578-4548
Phone(575) 578-4548
Organization SubpartNo
Authorized OfficialSteven Ray BlackM.d. · (575) 578-4548
Enumeration DateMay 2, 2012
✔ NPI 1457619934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
License✔ Licensed in NM · MD2011-0547
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X · License MD2011-0547 (NM)
2604 GAYE DR, Roswell, NM 88201
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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 Pangea Medical LLC's NPI number?

The NPI number for Pangea Medical LLC is 1457619934. It was assigned to this organization in the NPPES registry on May 2, 2012.

Where is Pangea Medical LLC located?

Pangea Medical LLC is located at 2604 Gaye Dr, Roswell, NM 88201. The listed phone number is (575) 578-4548.

What is Pangea Medical LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Pangea Medical LLC was last updated on May 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.