Rio Bravo Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

03123020002 Issued in NM

Legal business name

RIO BRAVO MEDICAL SUPPLY INC

Practice address

1515 Eubank Blvd NE
Albuquerque, NM 87112-4112

Phone

(505) 271-2727

Fax

(505) 271-2828

NPI assigned

Nov 17, 2007

Organization subpart

No

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

Authorized official

Name

Rita Petrosyan

Title

President

Phone

(505) 271-2727

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1195257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1063693141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 EUBANK BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871124112",
            "telephone_number": "505-271-2727",
            "fax_number": "505-271-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 EUBANK BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871124112",
            "telephone_number": "505-271-2727",
            "fax_number": "505-271-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIO BRAVO MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-17",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "PETROSYAN",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-271-2727"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NM",
            "license": "03123020002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49685082",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Rinehart, PH.D.
• Abigail Ringer
• Joshua Ringer, COTA
• Rachael Kimberlylynn Ringo
• Ami Rintoul, MD
• Rio Chama Nemt
• Rio Eyecare & Contact Lenses Inc
• Rio Grande Body Works, LLC
• Rio Grande Chiropractic
• Rio Grande Counseling

• Durable Medical Equipment & Medical Supplies in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Durable Medical Equipment & Medical Supplies in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; 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.