Organization
RIO GRANDE ORTHOTICS AND PROSTHETICS
Active
Organization
RIO GRANDE ORTHOTICS AND PROSTHETICS
Active
Parent organization
RIO GRANDE ORTHOTICS AND PROSTHETICS DBA ADVANCED PROSTHETICS AND ORTH
Other names
Advanced Prosthetics and Orthotics
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIO GRANDE ORTHOTICS AND PROSTHETICS DBA ADVANCED PROSTHETICS AND ORTH
Authorized official
FOREST SEXTON (MEMBER)
(541) 531-0439
Entity
Organization
Contact information
Practice address
1010 LEAD AVE SE, STE 400, ALBUQUERQUE, NM 87106-5214
(505) 247-0430
(505) 247-0653
Mailing address
1010 LEAD AVE SE, STE 400, ALBUQUERQUE, NM 87106-5214
(505) 247-0430
(505) 247-0653
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
COM-2016-341856
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38400839
—
NM
Enumeration date
01/19/2017
Last updated
10/03/2024
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