Active NPI
Isabel Guerrero
- Health Maintenance Organization
- Albuquerque, NM
National Provider Identifier
1508039538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- Practice address
- 4801 Lang Ave NE
Albuquerque, NM 87109-4474 - Phone
- (505) 464-0016
- NPI assigned
- Apr 10, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | NM | Primary |
Addresses
Primary practice location
4801 Lang Ave NE
Albuquerque, NM 87109-4474
Mailing address
P.O. Box 1652
Ruidoso Downs, NM 88346
Phone (575) 749-0532
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124880131 | NM | MD | Health Maintenance Organization |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207785600000",
"number": "1508039538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 1652",
"city": "RUIDOSO DOWNS",
"state": "NM",
"postal_code": "88346",
"telephone_number": "575-749-0532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 LANG AVE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094474",
"telephone_number": "505-464-0016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUERRERO",
"first_name": "ISABEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-10",
"last_updated": "2008-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "NM",
"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 Apr 10, 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.