Maleri Rene Gallegos

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R67064 Issued in NM

Practice address

801 Stephen Moody St SE
Albuquerque, NM 87123-1994

Phone

(505) 271-3060

Fax

(505) 291-5456

NPI assigned

Sep 14, 2018

Last updated

Sep 14, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Mexico School for the Blind and Visually Impaired Early Childhood

  • Community/Behavioral Health Agency
  • Albuquerque, NM
  • NPI 1053460683
  NPD (past)

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1063995066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 STEPHEN MOODY ST SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871231994",
            "telephone_number": "505-271-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 STEPHEN MOODY ST SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871231994",
            "telephone_number": "505-271-3060",
            "fax_number": "505-291-5456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLEGOS",
        "first_name": "MALERI",
        "middle_name": "RENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-14",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "R67064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "R67064",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Walsh Gallegos, D.D.S.
• Daniel J. Gallegos, Jr., PHD
• Juan Gallegos, MD
• Julia Teresa Gallegos, MD
• Leona D Gallegos, APRN-CNS
• Manuela Gallegos, PAC
• Margaret Gallegos, MS, PHARM D
• Mariah Jacklyn Gallegos
• Mariano Gallegos
• Marissa M Gallegos

• Registered Nurse in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; 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.