Active NPI
Ribera Medical, LLC
- Medical Specialty Clinic/Center
- Albuquerque, NM
National Provider Identifier
1194268599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- MD-88-97
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Primary Care Nurse Practitioner
- Albuquerque, NM
- NPI 1659041010
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.