Individual provider Active NPI

Quito Osuna Carr, M.D.

  • Family Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1235147968
Registry record updated Apr 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
74 274 Issued in NM
Practice address
717 Encino PL NE
Suite 12
Albuquerque, NM 87102-2611
Phone
(505) 242-5373
Fax
(505) 242-1221
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 74 274 NM Primary

Addresses

Primary practice location

717 Encino PL NE
Suite 12
Albuquerque, NM 87102-2611

Mailing address

717 Encino PL NE
Suite 12
Albuquerque, NM 87102-2611
Phone (505) 242-5373

Other identifiers 1

IdentifierTypeStateIssuer
02659MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
74 274NMMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396915200000",
    "number": "1235147968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 ENCINO PL NE",
            "address_2": "SUITE 12",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022611",
            "telephone_number": "505-242-5373",
            "fax_number": "505-242-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 ENCINO PL NE",
            "address_2": "SUITE 12",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022611",
            "telephone_number": "505-242-5373",
            "fax_number": "505-242-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "QUITO",
        "middle_name": "OSUNA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2014-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "74 274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02659",
            "state": "NM"
        }
    ],
    "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 Apr 8, 2014; 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.