Organization Active NPI

Rio Grande Fna

  • Cytopathology Physician
  • Corrales, NM
National Provider Identifier
1124790357
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cytopathology PhysicianTaxonomy code 207ZC0500X
Legal business name
RIO GRANDE FNA
Practice address
2469 Corrales Rd
BLDG a, Ste B
Corrales, NM 87048
Phone
(505) 271-2416
NPI assigned
Oct 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Authorized official

Name
David Rowe
Title
Manager
Phone
(505) 962-0577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZC0500X Primary

Addresses

Primary practice location

2469 Corrales Rd
BLDG a, Ste B
Corrales, NM 87048

Mailing address

1278 Camino Hermosa
Corrales, NM 87048-8653

National Provider Directory

National Provider Directory

Locations

2469 Corrales Rd
Ste B
Corrales, NM 87048
Phone (505) 271-2416

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1124790357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1278 CAMINO HERMOSA",
            "city": "CORRALES",
            "state": "NM",
            "postal_code": "870488653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2469 CORRALES RD",
            "address_2": "BLDG A, STE B",
            "city": "CORRALES",
            "state": "NM",
            "postal_code": "87048",
            "telephone_number": "505-271-2416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIO GRANDE FNA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "ROWE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "505-962-0577"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Cytopathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corrales, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.