Rio Grande Dermatology, Pc

LBN: Rio Grande Dermatology, Pc
Rio Grande Dermatology, Pc is an health care organization with primary practice located at 4545 Alameda Blvd Ne Suite G, Albuquerque NM 87113-1591. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Rio Grande Dermatology, Pc can be contacted via phone (505) 896-2900, or through Montano, Francine O via phone (505) 896-2900.

Contact Information

Primary practice address
4545 Alameda Blvd Ne Suite G Albuquerque NM 87113-1591
Phone: (505) 896-2900
Fax: (505) 938-4198
Website:
Map and Directions
Authorized official contact:
Name: Montano, Francine O
Phone: (505) 896-2900

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 20020450 New Mexico
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 20050405 New Mexico

Profile Details

NPI number 1497910848
LBN Legal business name Rio Grande Dermatology, Pc
DBA Doing business as
Authorized official Montano, Francine O
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2008
Last updated Feb 5th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497910848 NPPES
New Mexico MEDICAID 47235306
New Mexico MEDICAID 76659755

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