Organization Active NPI

Ribera Medical, LLC

  • Medical Specialty Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1194268599
Registry record updated Dec 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
MD-88-97 Issued in NM
Legal business name
RIBERA MEDICAL, LLC
Practice address
6341 Riverside Plaza LN NW
Suite a
Albuquerque, NM 87120-2646
Phone
(505) 226-8920
Fax
(866) 406-4513
NPI assigned
Dec 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2016

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

Authorized official

Name
Mrs. Olga Z. Lucero, RN
Title
Manager-Owner
Phone
(505) 226-8920

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X RN-79594 NM
Medical Specialty Clinic/Center 261QM2500X MD-88-97 NM Primary

Addresses

Primary practice location

6341 Riverside Plaza LN NW
Suite a
Albuquerque, NM 87120-2646

Mailing address

6341 Riverside Plaza LN NW
Suite a
Albuquerque, NM 87120-2646
Phone (505) 226-8920

National Provider Directory

National Provider Directory

Locations

6341 Riverside Plaza Ln NW
Ste A
Albuquerque, NM 87120
Phone (505) 226-8920

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": "1480636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480636800000",
    "number": "1194268599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6341 RIVERSIDE PLAZA LN NW",
            "address_2": "SUITE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871202646",
            "telephone_number": "505-226-8920",
            "fax_number": "866-406-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6341 RIVERSIDE PLAZA LN NW",
            "address_2": "SUITE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871202646",
            "telephone_number": "505-226-8920",
            "fax_number": "866-406-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIBERA MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-02",
        "last_updated": "2016-12-02",
        "status": "A",
        "authorized_official_last_name": "LUCERO",
        "authorized_official_first_name": "OLGA",
        "authorized_official_middle_name": "Z.",
        "authorized_official_title_or_position": "MANAGER-OWNER",
        "authorized_official_telephone_number": "505-226-8920",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NM",
            "license": "RN-79594",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NM",
            "license": "MD-88-97",
            "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 Dec 2, 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.