Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Albuquerque Dermatology Associates, PA

Organization Dermatology Physician · NPI 1821045329

Albuquerque Dermatology Associates, PA is a Dermatology Physician in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2006.

Licensed in
NM
In the registry since
2006
Specialties on file
9
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4610 Jefferson Ln NE
Albuquerque, NM 87109-2117
Phone: (505) 872-4700
Fax: (505) 872-4709
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 2000-166 (NM)
Dermatology Physician Taxonomy 207N00000X · Licence 2002-0450 (NM)
Dermatology Physician Taxonomy 207N00000X · Licence R46867NM (NM)
Dermatology Physician Taxonomy 207N00000X · Licence MD2005-0405 (NM)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 2000-166 (NM)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence 2000-166 (NM)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence 2002-0450 (NM)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence R46867NM (NM)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence MD2005-0405 (NM)

Record details

NPI number1821045329
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Estelle Miller — Practice Manager · (505) 872-4700
NPI enumeratedMay 28, 2006
Last updated in NPPESMarch 6, 2008
Mailing address4610 Jefferson Ln Ne, Albuquerque, NM 87109-2117

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