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

Antonio Tavitas, BC-FNP

Individual provider Family Nurse Practitioner · NPI 1104202308

Antonio Tavitas, BC-FNP is a Nurse Practitioner in Albuquerque, New Mexico. Qualified in 2015, 11 years ago. Practices with Unm Hospital, a 397-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
11
Licensed in
NM
In the registry since
2015
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Practice location Address checks out

1100 Central Ave SE
Albuquerque, NM 87106-4930
Phone: (505) 841-1234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence CNP-02706 (NM)

Record details

NPI number1104202308
Entity typeIndividual (Type 1)
GenderMale
Credentials BC-FNP
Sole proprietorNo
NPI enumeratedAugust 11, 2015
Last updated in NPPESOctober 29, 2024
Certification dateOctober 29, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Unm Hospital — 397 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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