Active NPI
Eric J Rico, RC,RB
- Durable Medical Equipment & Medical Supplies
- Albuquerque, NM
National Provider Identifier
1235788100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- C044021
- Practice address
- 2001 Mountain Rd NW Ste F2
Albuquerque, NM 87104-1484 - Phone
- (575) 418-1739
- NPI assigned
- Sep 4, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | C044021 | NM | Primary |
Addresses
Primary practice location
2001 Mountain Rd NW Ste F2
Albuquerque, NM 87104-1484
Mailing address
2001 Mountain Rd NW Ste F2
Albuquerque, NM 87104-1484
Phone (575) 418-1739
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C044021 | NM | MD | Durable Medical Equipment & Medical Supplies |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567555200000",
"number": "1235788100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 MOUNTAIN RD NW STE F2",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871041484",
"telephone_number": "575-418-1739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 MOUNTAIN RD NW STE F2",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871041484",
"telephone_number": "575-418-1739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICO",
"first_name": "ERIC",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "RC,RB",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-09-04",
"last_updated": "2019-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NM",
"license": "C044021",
"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 Sep 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.