Active NPI
Ricardo Ortega MD, LLC
- Geriatric Medicine (Family Medicine) Physician
- Albuquerque, NM
National Provider Identifier
1891984688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- 81-280
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CS00008264 | Other | NM | NM STATE PHARMACY # |
| 81-280 | Other | NM | NM STATE LICENSE |
National Provider Directory
National Provider DirectoryLocations
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.