OrganizationActive
Angel Fire Primary Care
NPI 1053672485 · General Practice Physician · Red River, NM
Provider details
- NPI number
- 1053672485
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lesa Fraker, President(505) 989-8707
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
200 a Pioneer Road
Red River, NM 87558-0000
Phone: (575) 754-1773
Fax: (505) 989-3536
Approximate (ZIP-level) locationGet directions
Mailing address
707 Paseo De Peralta
Santa Fe, NM 87501-1922
Other names (DBA / former)
- Doing business as
- Red River Primary Care
Registry dates
- Enumerated
- 2012-06-01
- Last updated
- 2012-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.