Organization Active NPI

Ricardo Ortega MD, LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Albuquerque, NM
National Provider Identifier
1891984688
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
81-280 Issued in NM
Legal business name
RICARDO ORTEGA MD, LLC
Practice address
5519 Rabadi Castle Ave NW
Albuquerque, NM 87114-1412
Phone
(505) 833-5091
Fax
(505) 352-6857
NPI assigned
Oct 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Ricardo J Ortega, MD
Title
Sole Proprietor
Phone
(505) 833-5091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X 81-280 NM Primary

Addresses

Primary practice location

5519 Rabadi Castle Ave NW
Albuquerque, NM 87114-1412

Mailing address

5519 Rabadi Castle Ave NW
Albuquerque, NM 87114-1412
Phone (505) 833-5091

Other identifiers 2

IdentifierTypeStateIssuer
CS00008264OtherNMNM STATE PHARMACY #
81-280OtherNMNM STATE LICENSE

National Provider Directory

National Provider Directory

Locations

3920 Juan Tabo Blvd NE
Albuquerque, NM 87111
Phone (505) 291-0113

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1891984688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5519 RABADI CASTLE AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871141412",
            "telephone_number": "505-833-5091",
            "fax_number": "505-352-6857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5519 RABADI CASTLE AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871141412",
            "telephone_number": "505-833-5091",
            "fax_number": "505-352-6857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICARDO ORTEGA MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "505-833-5091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NM",
            "license": "81-280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM STATE PHARMACY #",
            "identifier": "CS00008264",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM STATE LICENSE",
            "identifier": "81-280",
            "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 Mar 7, 2023; 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.