Organization Active NPI

Heights Medical Consultants PA

  • Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1821343286
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
NM8079 Issued in NM
Legal business name
HEIGHTS MEDICAL CONSULTANTS PA
Practice address
4300 San Mateo Blvd NE
Suite B270
Albuquerque, NM 87110-1229
Phone
(505) 883-7525
Fax
(505) 883-7535
NPI assigned
Jul 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

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

Authorized official

Name
Dr. Joseph Ruben Perea, M.D.
Title
President
Phone
(505) 883-7525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NM8079 NM Primary

Addresses

Primary practice location

4300 San Mateo Blvd NE
Suite B270
Albuquerque, NM 87110-1229

Mailing address

4300 San Mateo Blvd NE
Suite B270
Albuquerque, NM 87110-1229
Phone (505) 883-7525

Other identifiers 1

IdentifierTypeStateIssuer
00045146MedicaidNM

Other names 1

  • Joseph R. Perea, MD Other name

National Provider Directory

National Provider Directory

Locations

4300 San Mateo Blvd NE
Albuquerque, NM 87110
Phone (505) 883-7525

4300 San Mateo Blvd NE
Ste B270
Albuquerque, NM 87110
Phone (505) 883-7525

NPI Registry JSON

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342742400000",
    "number": "1821343286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 SAN MATEO BLVD NE",
            "address_2": "SUITE B270",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101229",
            "telephone_number": "505-883-7525",
            "fax_number": "505-883-7535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 SAN MATEO BLVD NE",
            "address_2": "SUITE B270",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101229",
            "telephone_number": "505-883-7525",
            "fax_number": "505-883-7535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEIGHTS MEDICAL CONSULTANTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-20",
        "last_updated": "2012-07-20",
        "status": "A",
        "authorized_official_last_name": "PEREA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "RUBEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-883-7525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NM",
            "license": "NM8079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00045146",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joseph R. Perea, MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 20, 2012; 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.