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

Angel Fire Primary Care

Organization General Practice Physician · NPI 1053672485

Angel Fire Primary Care is a General Practice Physician in Red River, New Mexico. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

200 A Pioneer Rd
Red River, NM 87558-0000
Phone: (575) 754-1773
Fax: (505) 989-3536
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1053672485
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lesa Fraker — President · (505) 989-8707
Other names Red River Primary Care
NPI enumeratedJune 1, 2012
Last updated in NPPESJune 1, 2012
Mailing address707 Paseo De Peralta, Santa Fe, NM 87501-1922