Individual provider Active NPI

Joseph Mario Lovato, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Albuquerque, NM
National Provider Identifier
1689671174
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
98-320 Issued in NM
Practice address
4425 Rio Trumperos Court NE
Albuquerque, NM 87120-5333
Phone
(505) 280-7370
Fax
(505) 358-3787
NPI assigned
Jun 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 98-320 NM Primary

Addresses

Primary practice location

4425 Rio Trumperos Court NE
Albuquerque, NM 87120-5333

Mailing address

4425 Rio Trumperos CT NW
Albuquerque, NM 87120-5333
Phone (505) 280-7370

Other identifiers 1

IdentifierTypeStateIssuer
T9136MedicaidNM

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)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1689671174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 RIO TRUMPEROS CT NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871205333",
            "telephone_number": "505-280-7370",
            "fax_number": "505-358-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 RIO TRUMPEROS COURT NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871205333",
            "telephone_number": "505-280-7370",
            "fax_number": "505-358-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVATO",
        "first_name": "JOSEPH",
        "middle_name": "MARIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NM",
            "license": "98-320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T9136",
            "state": "NM"
        }
    ],
    "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 Jun 8, 2015; 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.