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

Divine Wellness and Primary Care LLC

Organization Family Medicine Physician · NPI 1811823800

Divine Wellness and Primary Care LLC is a Family Medicine Physician in Los Lunas, New Mexico. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

111 Sandoval Rd SW
Los Lunas, NM 87031-7320
Phone: (505) 720-5212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1811823800
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larissa Baldonado — Owner/Np · (505) 720-5212
NPI enumeratedJune 18, 2026
Last updated in NPPESJuly 24, 2026
Certification dateJuly 24, 2026
Mailing address2235 Main St Se Ste C, Los Lunas, NM 87031-8889

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