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RIO GRANDE ORTHOTICS AND PROSTHETICS NPI 1972680593


NPI Information

NPI: 1972680593
Provider Name: RIO GRANDE ORTHOTICS AND PROSTHETICS

Doing Business As: ADVANCED PROSTHETICS AND ORTHOTICS

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
1691 GALISTEO ST
SUITE B
SANTA FE, NM
ZIP 87505
Phone: (505) 820-2390
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RIO GRANDE ORTHOTICS AND PROSTHETICS is a prosthetic orthotic supplier in Santa Fe, 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 1972680593. The provider is registered as an organization entity type.
The provider Is Doing Business As Advanced Prosthetics And Orthotics.

The provider's business location address is:

1691 GALISTEO ST
SUITE B
SANTA FE, NM
ZIP 87505-780
Phone: (505) 820-2390
Fax: (505) 820-2392

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 enumeration date for this NPI number is 11/1/2006 and was last updated on 4/11/2014.


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 Supplier47951NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
184927054MEDICAIDNEW MEXICO
25122720002MEDICARE NSCNEW MEXICO

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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