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RIO GRANDE ORTHOTICS AND PROSTHETICS NPI 1831653831


NPI Information

NPI: 1831653831
Provider Name: RIO GRANDE ORTHOTICS AND PROSTHETICS
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization

CLIA Number: 32D2235297

Address:
4824 MCMAHON BLVD NW STE 112
ALBUQUERQUE, NM
ZIP 87114
Phone: (505) 508-5996
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RIO GRANDE ORTHOTICS AND PROSTHETICS is a prosthetic orthotic supplier in Albuquerque, NM. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. RIO GRANDE ORTHOTICS AND PROSTHETICS NPI is 1831653831. The provider is registered as an organization entity type.

The provider's business location address is:

4824 MCMAHON BLVD NW STE 112
ALBUQUERQUE, NM
ZIP 87114-412
Phone: (505) 508-5996
Fax: (505) 508-5488

The provider's authorized official is Carmen M Mazon .
The authorized official title is Office Administrator and has the following contact phone number (505) 820-2390.

The CLIA number assigned to this NPI record is 32D2235297 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/24/2019 and was last updated on 1/24/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1335E00000XProsthetic/Orthotic SupplierYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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