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

Sierra Blanca Family Medicine PC

Organization Family Medicine Physician · NPI 1992132500

Sierra Blanca Family Medicine PC is a Family Medicine Physician in Ruidoso, New Mexico. Licensed in New Mexico. Registered with an NPI since 2013.

Licensed in
NM
In the registry since
2013
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

208 Porr Dr
Ruidoso, NM 88345-6713
Phone: (575) 630-1214
Fax: (575) 630-2083
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2000-25 (NM)

Record details

NPI number1992132500
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Frank Dimotta — Provider Owner · (575) 630-1214
NPI enumeratedSeptember 27, 2013
Last updated in NPPESSeptember 27, 2013
Mailing address208 Porr Dr, Ruidoso, NM 88345-6713

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