Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Longevity Clinical Ltc Associates of New Mexico, PC

Organization Family Medicine Physician · NPI 1295561058

Longevity Clinical Ltc Associates of New Mexico, PC provides Family Medicine Physician services in Albuquerque, New Mexico. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
4
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

103 Hospital Loop NE
Albuquerque, NM 87109-2115
Phone: (505) 348-8300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Family Medicine) Physician (primary) Taxonomy 207QG0300X
Family Medicine Physician Taxonomy 207Q00000X
Gerontology Nurse Practitioner Taxonomy 363LG0600X
Primary Care Nurse Practitioner Taxonomy 363LP2300X

Record details

NPI number1295561058
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Vincur — Manager · (561) 815-2427
NPI enumeratedSeptember 10, 2024
Last updated in NPPESSeptember 10, 2024
Certification dateSeptember 10, 2024
Mailing address11780 Us Highway 1 Ste N107, North Palm Beach, FL 33408-3007

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