Healthcare Provider Details

I. General information

NPI: 1790951499
Provider Name (Legal Business Name): GUENTHER RENE LEON BORSCHEID MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: RENE BORSCHEID

II. Dates (important events)

Enumeration Date: 05/02/2008
Last Update Date: 08/26/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 CEDAR ST SE STE 306
ALBUQUERQUE NM
87106-4932
US

IV. Provider business mailing address

PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE NM
87125-6666
US

V. Phone/Fax

Practice location:
  • Phone: 505-253-6100
  • Fax: 505-563-1010
Mailing address:
  • Phone: 203-688-2259
  • Fax: 203-688-5599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License NumberMD2025-0347
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: