Individual provider Active NPI

Ramon Rosa Duarte, MD

  • Nephrology Physician
  • Albuquerque, NM
National Provider Identifier
1962567883
Registry record updated Jun 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
79-158 Issued in NM
Practice address
4201 Central Ave NW
Suite K-2
Albuquerque, NM 87105-1630
Phone
(505) 639-5438
Fax
(505) 544-2624
NPI assigned
Dec 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 79-158 NM Primary

Addresses

Primary practice location

4201 Central Ave NW
Suite K-2
Albuquerque, NM 87105-1630

Mailing address

4201 Central Ave NW
Suite K-2
Albuquerque, NM 87105-1630
Phone (505) 639-5438

Other identifiers 1

IdentifierTypeStateIssuer
Z1152MedicaidNM

Other names 1

  • Ramon Rosa Duarte-Afara Other name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Monte Sol Medical Group Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466121600000",
    "number": "1962567883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 CENTRAL AVE NW",
            "address_2": "SUITE K-2",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871051630",
            "telephone_number": "505-639-5438",
            "fax_number": "505-544-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 CENTRAL AVE NW",
            "address_2": "SUITE K-2",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871051630",
            "telephone_number": "505-639-5438",
            "fax_number": "505-544-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUARTE",
        "first_name": "RAMON",
        "middle_name": "ROSA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2016-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NM",
            "license": "79-158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z1152",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAMON",
            "last_name": "DUARTE-AFARA",
            "middle_name": "ROSA",
            "credential": "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 Jun 17, 2016; 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.