Active NPI
Guillermo Colocho, M.D.
- Occupational Medicine Physician
- Albuquerque, NM
National Provider Identifier
1497874929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 70-117 NM
- Practice address
- 801 Encino PL NE
Suite E-12
Albuquerque, NM 87102-2612 - Phone
- (615) 778-4066
- NPI assigned
- Mar 28, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | 70-117 NM | NM | Primary |
Addresses
Primary practice location
801 Encino PL NE
Suite E-12
Albuquerque, NM 87102-2612
Mailing address
5080 Spectrum Drive
Suite 1200 West Tower
Addison, TX 75001-4648
Phone (800) 232-3550
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70-117 NM | NM | MD | Occupational Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229558400000",
"number": "1497874929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5080 SPECTRUM DRIVE",
"address_2": "SUITE 1200 WEST TOWER",
"city": "ADDISON",
"state": "TX",
"postal_code": "750014648",
"telephone_number": "800-232-3550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 ENCINO PL NE",
"address_2": "SUITE E-12",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871022612",
"telephone_number": "615-778-4066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLOCHO",
"first_name": "GUILLERMO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-28",
"last_updated": "2008-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "NM",
"license": "70-117 NM",
"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 Dec 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.