OrganizationActive
Juan Tabo Family Medicine PC
NPI 1073825816 · Primary Care Clinic/Center · Albuquerque, NM
Provider details
- NPI number
- 1073825816
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ben Muneta, Registered Agent(505) 554-1786
- License
- MD2007-0072 (NM)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3309 Juan Tabo Blvd Ne
Suite C
Albuquerque, NM 87111-5131
Phone: (505) 554-1786
Fax: (505) 508-2482
Approximate (ZIP-level) locationGet directions
Mailing address
3309 Juan Tabo Blvd Ne
Albuquerque, NM 87111-5131
Registry dates
- Enumerated
- 2010-07-09
- Last updated
- 2010-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.