Active NPI
Madica Medical LLC
- Durable Medical Equipment & Medical Supplies
- Albuquerque, NM
National Provider Identifier
1245536010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.