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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DIVINE WELLNESS AND PRIMARY CARE LLC
NPI 1811823800
Family Medicine in Los Lunas, NM

Active since June 18, 2026
111 SANDOVAL RD SW, LOS LUNAS, NM 87031(505) 720-5212 Get Directions Write a Review

NPPES record added: July 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2026, Jul 7, 2026 (2 updates tracked since 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 1811823800) 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/np, as its authorized official.

NPPES Registry Identity

NPI1811823800
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDIVINE WELLNESS AND PRIMARY CARE LLC
Location Address111 SANDOVAL RD SWLos Lunas, NM 87031-7320
Mailing Address2235 Main St Se Ste CLos Lunas, NM 87031-8889
Phone(505) 720-5212
Organization SubpartNo
Authorized OfficialLarissa BaldonadoOwner/np · (505) 720-5212
Enumeration DateJune 18, 2026
Last NPPES UpdateJuly 24, 20262 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
✔ NPI 1811823800 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.
111 SANDOVAL RD SW, 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 6

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

TIARA T MUHR RN, FNP-BC
Nurse Practitioner (Family)
111 SANDOVAL RD SW
LOS LUNAS, NM 87031
Valencia County (505) 565-4355
NORAH ELIZABETH WALSH M.D.
Family Medicine
111 SANDOVAL RD SW
LOS LUNAS, NM 87031
Valencia County (505) 565-4355
ROSALIND MONICA DEGEORGE PA-C
Physician Assistant
111 SANDOVAL RD SW
LOS LUNAS, NM 87031
Valencia County (505) 565-4355
RIO ABAJO FAMILY PRACTICE, P.C.
Family Medicine
111 SANDOVAL RD SW
LOS LUNAS, NM 87031
Valencia County (505) 565-4355
MS. CATHERINE ANN DELANEY PA-C
Physician Assistant (Medical)
111 SANDOVAL RD SW
LOS LUNAS, NM 87031
Valencia County (505) 565-4355
LYNDA CAROLE SHEY APRN, BC-ADM
Clinical Nurse Specialist (Medical-Surgical)
111 SANDOVAL RD SW, RIO ABAJO FAMILY PRACTICE
LOS LUNAS, NM 87031
Valencia County (505) 565-4355

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 1811823800. It was assigned to this organization in the NPPES registry on June 18, 2026.

Where is Divine Wellness And Primary Care LLC located?

Divine Wellness And Primary Care LLC is located at 111 Sandoval Rd SW, 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 July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.