=====================================================
General NPI Number Information
=====================================================
NPI Number | 1306855093
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | QUITO OSUNA CARR, M.D., P.C.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/05/2006
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 717 ENCINO PL NE SUITE 12
-----------------------------------------------------
City | ALBUQUERQUE
-----------------------------------------------------
State | NM
-----------------------------------------------------
Zip | 87102-2611
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 505-242-5373
-----------------------------------------------------
Fax | 505-242-1221
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 717 ENCINO PL NE SUITE 12
-----------------------------------------------------
City | ALBUQUERQUE
-----------------------------------------------------
State | NM
-----------------------------------------------------
Zip | 87102-2611
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 505-242-5373
-----------------------------------------------------
Fax | 505-242-1221
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | QUITO OSUNA CARR
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 505-242-5373
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------