Active NPI
Renal and Internal Medicine Consultant PC
- Nephrology Physician
- Albuquerque, NM
National Provider Identifier
1083000699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 79-158
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 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 DirectoryLocations
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.