Clinica de la Gloria

Primary specialty

Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X

License

R11687 Issued in NM

Legal business name

CLINICA DE LA GLORIA

Practice address

1720 Bridge Blvd SW Ste F
Albuquerque, NM 87105-3182

Phone

(505) 242-3335

Fax

(505) 242-2700

NPI assigned

Nov 10, 2009

Last updated

Nov 10, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Gloria Vigil, CFNP

Title

President

Phone

(505) 242-3335

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257811200000",
    "number": "1174850291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 BRIDGE BLVD SW STE F",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871053182",
            "telephone_number": "505-242-3335",
            "fax_number": "505-242-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 BRIDGE BLVD SW STE F",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871053182",
            "telephone_number": "505-242-3335",
            "fax_number": "505-242-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DE LA GLORIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-10",
        "last_updated": "2009-11-10",
        "status": "A",
        "authorized_official_last_name": "VIGIL",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-242-3335",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CFNP"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "NM",
            "license": "R11687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Diane Cline-Parhamovich, D.O.
• Christie Anne Cline, MD
• Mary E Cline, PT
• Melissa Jaclyn Cline, M.D.
• Stuart H Cline, LPCC, LADAC, LPAT
• Clinica del Valle LLC
• Clinica Para Todos
• Clinical Assessment Group, LLC
• Clinical Rituals LLC
• Clinical, Forensic Neruopsychologist Associates of New Mexico

• Family Health Clinical Nurse Specialist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Family Health Clinical Nurse Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; 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.