Active NPI
Santa Fe Spine and Wellness LLC
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Corrales, NM
National Provider Identifier
1437067477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- SANTA FE SPINE AND WELLNESS LLC
- Practice address
- 353 E la Entrada
Corrales, NM 87048-7647 - Phone
- (267) 808-3189
- NPI assigned
- Aug 31, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Justin Averna, DO
- Title
- Owner / Physician
- Phone
- (267) 808-3189
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | Primary |
Addresses
Primary practice location
353 E la Entrada
Corrales, NM 87048-7647
Mailing address
353 E la Entrada
Corrales, NM 87048-7647
Phone (267) 808-3189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788134400000",
"number": "1437067477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "353 E LA ENTRADA",
"city": "CORRALES",
"state": "NM",
"postal_code": "870487647",
"telephone_number": "267-808-3189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "353 E LA ENTRADA",
"city": "CORRALES",
"state": "NM",
"postal_code": "870487647",
"telephone_number": "267-808-3189"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANTA FE SPINE AND WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-31",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A",
"authorized_official_last_name": "AVERNA",
"authorized_official_first_name": "JUSTIN",
"authorized_official_title_or_position": "OWNER / PHYSICIAN",
"authorized_official_telephone_number": "267-808-3189",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corrales, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.