Anita M Roybal, MD

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

84-110 Issued in NM

Practice address

1101 Golf Course Rd SE
Suite 201
Rio Rancho, NM 87124-4731

Phone

(505) 234-1612

Fax

(505) 234-1618

NPI assigned

Dec 13, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349136000000",
    "number": "1013078781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 GOLF COURSE RD SE",
            "address_2": "SUITE 201",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244731",
            "telephone_number": "505-234-1612",
            "fax_number": "505-234-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 GOLF COURSE RD SE",
            "address_2": "SUITE 201",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244731",
            "telephone_number": "505-234-1612",
            "fax_number": "505-234-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYBAL",
        "first_name": "ANITA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2012-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NM",
            "license": "84-110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q6735",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN INDIVIDUAL",
            "identifier": "400343",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Beth Rose, LISW
• Esther E Rosenberg, PHARMD, PHC
• Rosita'
• Suzanne Roth
• Lauren M Roverse, OD
• Katherine Therese Royer, LPCC, NCC
• Amanda M Rubio, BMS
• Daniel Bruce Rudd, D.D.S, M.S.D
• Therese Ann Ruddell, CNP
• Samantha Rue

• Public Health & General Preventive Medicine Physician in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Public Health & General Preventive Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.