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

Pangea Medical LLC

Organization Internal Medicine Physician · NPI 1255786703

Pangea Medical LLC is an Internal Medicine Physician in Roswell, New Mexico. Licensed in New Mexico. Registered with an NPI since 2016.

Licensed in
NM
In the registry since
2016
Specialties on file
2
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

405 W Country Club Rd
Roswell, NM 88201-5209
Phone: (575) 624-2095
Fax: (575) 208-0780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence MD2011-0547 (NM)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD2011-0547 (NM)

Record details

NPI number1255786703
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steven Black — Managing Member · (575) 624-2095
Other names Pangea Medical; Pangea Medical
NPI enumeratedMay 3, 2016
Last updated in NPPESOctober 21, 2022
Certification dateOctober 21, 2022
Mailing addressPo Box 8244, Roswell, NM 88202-8244

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