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 1922376896

Angel Fire Primary Care is a General Practice Physician in Angel Fire, New Mexico. Licensed in New Mexico. Registered with an NPI since 2011.

Licensed in
NM
In the registry since
2011

Practice location Address checks out

37 Aspen
Angel Fire, NM 87710-0000
Phone: (575) 377-1805
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X (NM)

Record details

NPI number1922376896
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lesa Fraker — President · (505) 989-8707
NPI enumeratedDecember 7, 2011
Last updated in NPPESMay 15, 2012
Mailing address707 Paseo De Peralta, Santa Fe, NM 87501-1922