Individual provider Active NPI

Rafael Alejandro Fernandez-Mancha, MD

  • Psychiatry Physician
  • Albuquerque, NM
National Provider Identifier
1215538095
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD2026-0102 Issued in NM
Practice address
1325 Wyoming Blvd NE
Albuquerque, NM 87112-5046
Phone
(505) 291-5300
NPI assigned
Nov 6, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD2026-0102 NM Primary
Student in an Organized Health Care Education/Training Program 390200000X NM

Addresses

Primary practice location

1325 Wyoming Blvd NE
Albuquerque, NM 87112-5046

Mailing address

2320 Central Ave SW Apt 103
Albuquerque, NM 87104-1620
Phone (505) 410-9786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1215538095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 CENTRAL AVE SW APT 103",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871041620",
            "telephone_number": "505-410-9786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 WYOMING BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871125046",
            "telephone_number": "505-291-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ-MANCHA",
        "first_name": "RAFAEL",
        "middle_name": "ALEJANDRO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-06",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NM",
            "license": "MD2026-0102",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.