Organization Active NPI

Santa Fe Spine and Wellness LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Corrales, NM
National Provider Identifier
1437067477
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
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

Updated by the provider on Aug 31, 2026

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)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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.

Verify at the official NPI Registry.