| Ribera Medical, Llc | |
|
6341 Riverside Plaza Ln Nw Suite A Albuquerque NM 87120-2646 | |
| (505) 226-8920 | |
| (866) 406-4513 |
| Full Name | Ribera Medical, Llc |
|---|---|
| Speciality | Clinic/center - Medical Specialty |
| Location | 6341 Riverside Plaza Ln Nw, Albuquerque, New Mexico |
| Authorized Official Name and Position | Olga Z. Lucero (MANAGER-OWNER) |
| Authorized Official Contact | 5052268920 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ribera Medical, Llc 6341 Riverside Plaza Ln Nw Suite A Albuquerque NM 87120-2646 Ph: (505) 226-8920 | Ribera Medical, Llc 6341 Riverside Plaza Ln Nw Suite A Albuquerque NM 87120-2646 Ph: (505) 226-8920 |
| NPI Number | 1194268599 |
|---|---|
| Provider Enumeration Date | 12/02/2016 |
| Last Update Date | 12/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194268599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | RN-79594 (New Mexico) | Secondary |
| 261QM2500X | Clinic/center - Medical Specialty | MD-88-97 (New Mexico) | Primary |
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