Healthcare Provider Details

I. General information

NPI: 1609714716
Provider Name (Legal Business Name): TRIUNITY HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 LOUISIANA BLVD NE
ALBUQUERQUE NM
87108-2051
US

IV. Provider business mailing address

500 LOUISIANA BLVD NE
ALBUQUERQUE NM
87108-2051
US

V. Phone/Fax

Practice location:
  • Phone: 575-405-1390
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: SERGIO A HUERTA II
Title or Position: OWNER
Credential: MD
Phone: 575-405-1390