RIO GRANDE INTERNAL MEDICINE PC NPI 1750688032

NPI Information

  • NPI: 1750688032
  • Provider Name: RIO GRANDE INTERNAL MEDICINE PC
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Address: 4801 MCMAHON BLVD NW
    SUITE 235
    ALBUQUERQUE, NM
    ZIP 87114
  • Phone: (505) 792-2636

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NPI Details

RIO GRANDE INTERNAL MEDICINE PC 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). RIO GRANDE INTERNAL MEDICINE PC NPI is 1750688032. The provider is registered as an organization entity type.

The provider's business location address is:

4801 MCMAHON BLVD NW
SUITE 235
ALBUQUERQUE, NM
ZIP 87114-090
Phone: (505) 792-2636
Fax: (505) 234-1707

The provider's authorized official is Kevin J Goodluck .
The authorized official title is President and has the following contact phone number (505) 792-2636.

The enumeration date for this NPI number is 2/22/2011 and was last updated on 10/19/2011.

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
1261QM2500XClinic/CenterMedical Specialty97251NEW MEXICOYes

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: 11/21/2025

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