Medical Rehab Center of New Mexico PA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

94364 Issued in NM

Legal business name

MEDICAL REHAB CENTER OF NEW MEXICO PA

Practice address

3874 Masthead NE
BLDG G
Albuquerque, NM 87109-4479

Phone

(505) 338-2077

Fax

(505) 338-1960

NPI assigned

Jul 22, 2006

Organization subpart

No

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

Authorized official

Name

Stefanie Royce

Title

Office Team Lead

Phone

(505) 338-2077

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1932120052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3874 MASTHEAD NE",
            "address_2": "BLDG G",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094479",
            "telephone_number": "505-338-2077",
            "fax_number": "505-338-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3874 MASTHEAD NE",
            "address_2": "BLDG G",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094479",
            "telephone_number": "505-338-2077",
            "fax_number": "505-338-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL REHAB CENTER OF NEW MEXICO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "ROYCE",
        "authorized_official_first_name": "STEFANIE",
        "authorized_official_title_or_position": "OFFICE TEAM LEAD",
        "authorized_official_telephone_number": "505-338-2077"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NM",
            "license": "94364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00025532",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medical Arts Dermatology PC
• Medical Case Management, Inc.
• Medical Consulting Media, Inc.
• Medical Management Inc
• Medical Practice Solutions
• Medical Services Services, LLC.
• Medical Staffing Network, Inc.
• Medical Support Services Inc
• Medical Whisperer Janet L Blanchard MD Internal Medicine Consultantllc
• Jacqueline Medici

• Physical Medicine & Rehabilitation Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Physical Medicine & Rehabilitation Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; 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.