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

University of New Mexico Medical Group, Inc

Organization Student Health Clinic/Center · NPI 1790946739

University of New Mexico Medical Group, Inc is a Student Health Clinic/Center in Tijeras, New Mexico. Licensed in New Mexico. Registered with an NPI since 2008.

Licensed in
NM
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11799 State Highway 14 S
Tijeras, NM 87059-8619
Phone: (505) 281-3602
Fax: (505) 281-3602
Show map & directions

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

Specialties & licences

Student Health Clinic/Center (primary) Taxonomy 261QS1000X · Licence PA 2004-0048 (NM)

Record details

NPI number1790946739
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Masciotra — Ceo · (505) 272-8950
NPI enumeratedJune 23, 2008
Last updated in NPPESJune 23, 2008
Mailing addressUnm School Based Health Ctrs, Msc09 5040, Albuquerque, NM 87131-0001