Individual provider Active NPI

Martin Manuel Alvarado, FNP

  • Family Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1265094916
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
56790 Issued in NM
Practice address
1634 Alameda Blvd NW
Albuquerque, NM 87114-8807
Phone
(505) 884-3344
Fax
(866) 790-2292
NPI assigned
Jul 2, 2019
Last updated
Sep 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 56790 NM Primary

Addresses

Primary practice location

1634 Alameda Blvd NW
Albuquerque, NM 87114-8807

Mailing address

3900 Eubank Blvd NE Ste 12
Albuquerque, NM 87111-3427
Phone (505) 884-3344

Other practice location 1

3900 Eubank Blvd NE Ste 12
Albuquerque, NM 87111-3427
Phone (505) 884-3344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200514002900 NM Practitioner - Nurse Practitioner 2466883053 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uka Healthcare Services LLCGroup PAC ID 1355724303, 7 clinicians
Amber Horizon Longterm Care PCGroup PAC ID 2961917950, 6 clinicians

Practice addresses (Care Compare)

1740 Grande Blvd SE
Suite E 10
Rio Rancho, NM 87124-1799
Phone (505) 504-1147

919 Mesa Roja TRL NE
Rio Rancho, NM 87124-6388
Phone (505) 990-0734

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
56790NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Uka Healthcare Services LLC CurrentSince Jan 7, 2024 Accepting new patients
John R. Vigil, MD, LLC CurrentSince Jul 1, 2025 Accepting new patients

Locations

3900 Eubank Blvd NE
Ste 12
Albuquerque, NM 87111
Phone (505) 292-8555

121 Wyatt Dr
Ste 3
Las Cruces, NM 88005
Phone (505) 884-3344

1740 Grande Blvd SE
Ste 10
Rio Rancho, NM 87124
Phone (505) 504-1147

1740 Grande Blvd SE
Ste E
Rio Rancho, NM 87124

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1265094916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 EUBANK BLVD NE STE 12",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113427",
            "telephone_number": "505-884-3344",
            "fax_number": "866-790-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 ALAMEDA BLVD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871148807",
            "telephone_number": "505-884-3344",
            "fax_number": "866-790-2292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3900 Eubank Blvd NE Ste 12",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871113427",
            "country_code": "US",
            "telephone_number": "505-884-3344",
            "fax_number": "866-790-2292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALVARADO",
        "first_name": "MARTIN",
        "middle_name": "MANUEL",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-02",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "56790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.