Organization Active NPI

Juntos Podemos II, Inc / David Ibarbo

  • Community/Behavioral Health Agency
  • Albuquerque, NM
National Provider Identifier
1245469634
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
3668 Issued in NM
Legal business name
JUNTOS PODEMOS II, INC / DAVID IBARBO
Practice address
2715 4TH St NW
Albuquerque, NM 87107-1329
Phone
(505) 242-4533
Fax
(505) 242-4240
NPI assigned
Jul 7, 2009
Last updated
Aug 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Authorized official

Name
Mr. David Humberto Ibarbo, LADAC
Title
Director/Owner
Phone
(505) 507-3536

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X LADAC 3668 NM
Addiction (Substance Use Disorder) Counselor 101YA0400X LADAC 3668 NM
Early Intervention Provider Agency 252Y00000X LADAC 3668 NM
Community/Behavioral Health Agency 251S00000X 3668 NM Primary

Addresses

Primary practice location

2715 4TH St NW
Albuquerque, NM 87107-1329

Mailing address

2715 4TH St NW
Albuquerque, NM 87107-1329
Phone (505) 242-4533

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1245469634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 4TH ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071329",
            "telephone_number": "505-242-4533",
            "fax_number": "505-242-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 4TH ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071329",
            "telephone_number": "505-242-4533",
            "fax_number": "505-242-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNTOS PODEMOS II, INC / DAVID IBARBO",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-07",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "IBARBO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "HUMBERTO",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "505-507-3536",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LADAC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NM",
            "license": "LADAC 3668",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "LADAC  3668",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NM",
            "license": "LADAC 3668",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "3668",
            "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 Aug 4, 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.