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NPI Code Detail

MEDICARE: TRIUNITY HEALTHCARE LLC

MEDICARE: TRIUNITY HEALTHCARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician
2207RA0401XAddiction Medicine (Internal Medicine) Physician

General Provider Information

NPI Number : 1609714716
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRIUNITY HEALTHCARE LLC
Provider Business Mailing Address
First Line : 500 LOUISIANA BLVD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87108-2051
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 500 LOUISIANA BLVD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87108-2051
Country : US
Telephone Number : 575-405-1390
Fax Number :
Authorized Official
Title or Position : OWNER
Name : SERGIO A HUERTA II
Credential : MD
Telephone Number : 575-405-1390
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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Directions to “TRIUNITY HEALTHCARE LLC ” Practice Location

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