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

Molina Healthcare of New Mexico

Organization Family Medicine Physician · NPI 1649782962

Molina Healthcare of New Mexico is a Family Medicine Physician in Albuquerque, New Mexico. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2

Practice location Address checks out

400 Tijeras Ave NW
Albuquerque, NM 87102-3234
Phone: (888) 562-5441
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1649782962
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMolina Healthcare
Authorized official Daniel Sorrells — Plan President-Mhnm · (888) 562-5442
NPI enumeratedOctober 26, 2017
Last updated in NPPESOctober 26, 2017
Mailing address200 Oceangate Ste 100, Long Beach, CA 90802-4317

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