Organization Active NPI

Madica Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Albuquerque, NM
National Provider Identifier
1245536010
Registry record updated Mar 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MADICA MEDICAL LLC
Practice address
9421 Glendale Ave NE
Albuquerque, NM 87122-3964
Phone
(505) 259-3073
NPI assigned
Jan 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2011

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

Authorized official

Name
Mr. Michael Giacomo
Title
Owner/Operator
Phone
(505) 259-3073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

9421 Glendale Ave NE
Albuquerque, NM 87122-3964

Mailing address

9421 Glendale Ave NE
Albuquerque, NM 87122-3964
Phone (505) 259-3073

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300320000000",
    "number": "1245536010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9421 GLENDALE AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871223964",
            "telephone_number": "505-259-3073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9421 GLENDALE AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871223964",
            "telephone_number": "505-259-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADICA MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-03-17",
        "status": "A",
        "authorized_official_last_name": "GIACOMO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "505-259-3073",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "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 Mar 17, 2011; 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.