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RIBERA MEDICAL LLC NPI 1194268599


NPI Information

NPI: 1194268599
Provider Name: RIBERA MEDICAL, LLC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
6341 RIVERSIDE PLAZA LN NW
SUITE A
ALBUQUERQUE, NM
ZIP 87120
Phone: (505) 226-8920
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RIBERA MEDICAL, LLC is a medical specialty clinic center in Albuquerque, NM. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). RIBERA MEDICAL, LLC NPI is 1194268599. The provider is registered as an organization entity type.

The provider's business location address is:

6341 RIVERSIDE PLAZA LN NW
SUITE A
ALBUQUERQUE, NM
ZIP 87120-646
Phone: (505) 226-8920
Fax: (866) 406-4513

The provider's authorized official is Olga Z. Lucero .
The authorized official title is Manager-owner and has the following contact phone number (505) 226-8920.

The enumeration date for this NPI number is 12/2/2016 and was last updated on 12/2/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterRN-79594NEW MEXICONo
2261QM2500XClinic/CenterMedical SpecialtyMD-88-97NEW 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E87710MEDICARE UPINNEW 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: 4/28/2024

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