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UNIVERSITY OF NEW MEXICO MEDICAL GROUP, INC.
NPI 1790946739
Clinic/Center - Student Health in Tijeras, NM

Active since June 23, 2008
11799 STATE HIGHWAY 14 S, TIJERAS, NM 87059(505) 281-3602(505) 281-3602 Get Directions Write a Review

NPPES record last updated: June 23, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About University Of New Mexico Medical Group, Inc. NPPES

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

UNIVERSITY OF NEW MEXICO MEDICAL GROUP, INC. (NPI 1790946739) is a healthcare organization registered as a student health in Tijeras, New Mexico and active in the NPI registry since June 2008. The organization lists Anthony Masciotra, Ceo, as its authorized official.

NPPES Registry Identity

NPI1790946739
Entity TypeOrganization
Primary Taxonomy261QS1000X
Legal Business NameUNIVERSITY OF NEW MEXICO MEDICAL GROUP, INC.
Location Address11799 STATE HIGHWAY 14 STijeras, NM 87059-8619
Mailing AddressUnm School Based Health Ctrs, Msc09 5040Albuquerque, NM 87131-0001 · (505) 272-0457 · Fax (505) 272-2043
Phone(505) 281-3602
Fax(505) 281-3602
Organization SubpartNo
Authorized OfficialAnthony MasciotraCeo · (505) 272-8950
Enumeration DateJune 23, 2008
✔ NPI 1790946739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Student HealthAmbulatory Health Care Facilities
Taxonomy Code261QS1000X
License✔ Licensed in NM · PA 2004-0048
11799 STATE HIGHWAY 14 S, Tijeras, NM 87059
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Other Identifiers 1

Medicaid3A07NM

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 University Of New Mexico Medical Group, Inc.'s NPI number?

The NPI number for University Of New Mexico Medical Group, Inc. is 1790946739. It was assigned to this organization in the NPPES registry on June 23, 2008.

Where is University Of New Mexico Medical Group, Inc. located?

University Of New Mexico Medical Group, Inc. is located at 11799 State Highway 14 S, Tijeras, NM 87059. The listed phone number is (505) 281-3602.

What is University Of New Mexico Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Student Health, with taxonomy code 261QS1000X.

When was this NPI record last updated?

The NPPES record for University Of New Mexico Medical Group, Inc. was last updated on June 23, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.