Organization
RICARDO ORTEGA MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICARDO J ORTEGA MD (SOLE PROPRIETOR)
(505) 833-5091
Entity
Organization
Contact information
Practice address
5519 RABADI CASTLE AVE NW, ALBUQUERQUE, NM 87114-1412
(505) 833-5091
(505) 352-6857
Mailing address
5519 RABADI CASTLE AVE NW, ALBUQUERQUE, NM 87114-1412
(505) 833-5091
(505) 352-6857
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
81-280
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81-280
NM STATE LICENSE
NM
01
—
CS00008264
NM STATE PHARMACY #
NM
Enumeration date
10/17/2007
Last updated
03/07/2023
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