Organization
RIO RANCHO MEDICAL & INFUSION CARE LLC
Active
Organization
RIO RANCHO MEDICAL & INFUSION CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMETRIUS WARE (CEO)
(702) 659-8925
Entity
Organization
Contact information
Practice address
1713 WELLSPRING AVE SE, RIO RANCHO, NM 87124-5106
(505) 254-1200
Mailing address
6980 OBANNON DR, LAS VEGAS, NV 89117-2122
(702) 659-8925
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RP1002X
Physician Nutrition Specialist (Internal Medicine)
—
—
207RS0010X
Sports Medicine (Internal Medicine) Physician
—
—
207SG0201X
Clinical Genetics (M.D.) Physician
—
—
Other
Enumeration date
07/31/2026
Last updated
08/07/2026
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