Organization
RIBERA MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OLGA Z. LUCERO RN (MANAGER-OWNER)
(505) 226-8920
Entity
Organization
Contact information
Practice address
6341 RIVERSIDE PLAZA LN NW, SUITE A, ALBUQUERQUE, NM 87120-2646
(505) 226-8920
(866) 406-4513
Mailing address
6341 RIVERSIDE PLAZA LN NW, SUITE A, ALBUQUERQUE, NM 87120-2646
(505) 226-8920
(866) 406-4513
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
RN-79594
NM
261QM2500X
Medical Specialty Clinic/Center
Primary
MD-88-97
NM
Other
Enumeration date
12/02/2016
Last updated
12/02/2016
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