Organization
RIO BRAVO MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITA PETROSYAN (PRESIDENT)
(505) 271-2727
Entity
Organization
Contact information
Practice address
1515 EUBANK BLVD NE, ALBUQUERQUE, NM 87112-4112
(505) 271-2727
(505) 271-2828
Mailing address
1515 EUBANK BLVD NE, ALBUQUERQUE, NM 87112-4112
(505) 271-2727
(505) 271-2828
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
03123020002
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49685082
—
NM
Enumeration date
11/17/2007
Last updated
12/04/2008
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