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

Divine Wellness and Primary Care LLC

Organization Family Medicine Physician · NPI 1396661641

Divine Wellness and Primary Care LLC provides Family Medicine Physician services in Los Lunas, New Mexico. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2235 Main St NE Ste F
Los Lunas, NM 87031
Phone: (505) 720-5212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1396661641
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larissa Baldonado — Owner · (505) 720-5212
NPI enumeratedJune 29, 2026
Last updated in NPPESJune 29, 2026
Certification dateJune 9, 2026
Mailing address1700 Tesoro Loop Nw, Los Lunas, NM 87031-8963

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