Organization Active NPI

Renal and Internal Medicine Consultant PC

  • Nephrology Physician
  • Albuquerque, NM
National Provider Identifier
1083000699
Registry record updated Jun 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
79-158 Issued in NM
Legal business name
RENAL AND INTERNAL MEDICINE CONSULTANT PC
Practice address
4201 Central Ave NW
Suite K-2
Albuquerque, NM 87105-1630
Phone
(505) 639-5438
Fax
(505) 544-2624
NPI assigned
Apr 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2016

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

Authorized official

Name
Ramon R Duarte, M.D.
Title
Owner
Phone
(575) 312-5822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X 79-158 NM Primary

Addresses

Primary practice location

4201 Central Ave NW
Suite K-2
Albuquerque, NM 87105-1630

Mailing address

4201 Central Ave NW
Suite K-2
Albuquerque, NM 87105-1630
Phone (505) 639-5438

National Provider Directory

National Provider Directory

Locations

4201 Central Ave NW
Ste K2
Albuquerque, NM 87105
Phone (505) 503-7250

NPI Registry JSON

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466121600000",
    "number": "1083000699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 CENTRAL AVE NW",
            "address_2": "SUITE K-2",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871051630",
            "telephone_number": "505-639-5438",
            "fax_number": "505-544-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 CENTRAL AVE NW",
            "address_2": "SUITE K-2",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871051630",
            "telephone_number": "505-639-5438",
            "fax_number": "505-544-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL AND INTERNAL MEDICINE CONSULTANT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2016-06-17",
        "status": "A",
        "authorized_official_last_name": "DUARTE",
        "authorized_official_first_name": "RAMON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-312-5822",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NM",
            "license": "79-158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; 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.