MANUEL C. ARCHULETA (NPI# 1457460776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457460776 |
| Entity Type | Individual |
| Full Name | MANUEL C. ARCHULETA |
| Credential | MD |
| Practice Address |
Pmg Isleta 3436 Isleta Blvd Sw Albuquerque NM 87105 |
| Mailing Address |
Po Box 26666 Phs Provider Enrollment Albuquerque NM 87125-6666 |
| Practice Telephone | 5054627777 |
| Practice Fax Number | 5054627880 |
| Mailing Telephone | 5059235356 |
| Mailing Fax Number | 5059235354 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2011-10-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 74-117 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 1750 | 05 |
| Street Address |
PMG ISLETA 3436 ISLETA BLVD SW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275527608 | Angela Gallegos-macias | Family Medicine | Pmg Isleta, 3436 Isleta Blvd Sw, Albuquerque, NM 87105 | 2005-08-31 |
| 1952491680 | Charles F Benton | Internal Medicine | Pmg Isleta, 3436 Isleta Blvd Sw, Albuquerque, NM 87105 | 2006-10-13 |
| 1912091398 | Susan E Murphy | Advanced Practice Midwife | Pmg Isleta, 3436 Isleta Blvd Sw, Albuquerque, NM 87105 | 2006-10-03 |
| 1649364027 | Robin M Napoleone | Pediatrics | Pmg Isleta, 3436 Isleta Blvd Sw, Albuquerque, NM 87105 | 2006-10-03 |
| 1427093020 | Martha R Hand | Psychologist | Pmg Isleta, 3436 Isleta Blvd Sw, Albuquerque, NM 87105 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278063 | Jacob Hill | Rehabilitation Practitioner | 2001-b El Centro Familiar Blvd Se, Albuqerque, NM 87105 | 2020-09-02 |
| 1083264824 | Kacie Rhodes | Technician | 515 Isleta Blvd Sw, Albuquerque, NM 87105 | 2019-09-13 |
| 1043870454 | Equal LLC | Assisted Living Facility | 207 Lagunitas Lane, Albuquerque, NM 87105 | 2019-06-18 |
| 1043792997 | Elizabeth Bennett | Counselor | 309 59th St Nw, Albuquerque, NM 87105 | 2018-09-06 |
| 1316439920 | Deann Nieto | Rehabilitation Practitioner | 2001b El Centro Familiar Blvd Sw, Albuquerque, NM 87105 | 2018-05-31 |
| 1487163457 | Karen Bejarano | Behavior Technician | 1847 Val Verde Rd Sw, Albuquerque, NM 87105 | 2017-09-21 |
| 1306360391 | Bendiciones Home Health Care | Home Health | 5500 Cleo Rd. Sw, Albuquerque, NM 87105 | 2017-08-01 |
| 1578927711 | Clarence Mills | Counselor | 1528 Five Points Rd Nw, Albuquerque, NM 87105 | 2016-04-13 |
| 1386024727 | Rachel Elaine Kadetz | Counselor | 1101 Lopez Rd. Sw, Albuquerque, NM 87105 | 2015-06-01 |
| 1598160772 | Sandra Jean Taylor | Lactation Consultant, Non-RN | 1305 Blake Rd Sw, Albuquerque, NM 87105 | 2014-10-30 |
| Find all providers in zip 87105 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851814784 | Ally Renee Funkhouser Dye | Pediatrics | 2130 Eubank Blvd Ne, Albuquerque, NM 87112 | 2017-07-23 |
| 1528417953 | Sofia Michelle Markee | Pediatrics | 1 University of New Mexico Pediatric Department, Albuquerque, NM 87131-0001 | 2016-06-07 |
| 1619363751 | Lauren N Gabreski | Pediatrics | Us Air Force, 377 Mdg/sghc, 2050a Second Street Se, Albuquerque, NM 87117-5522 | 2015-04-15 |
| 1174918197 | Ross Newman | Pediatrics | 2211 Lomas Blvd Ne # 3acc, Albuquerque, NM 87106-2719 | 2015-04-06 |
| 1942612650 | Amy M Rouse | Pediatrics | 933 Bradbury Dr Se Ste 222, Albuquerque, NM 87106 | 2014-05-29 |
| 1215362017 | Deborah Mcgrew Md LLC | Pediatrics | 1615 University Blvd Ne, Albuquerque, NM 87102-1717 | 2013-09-11 |
| 1477986065 | Gypsum Medical Associates of New Mexico, PC | Pediatrics | Building 9200, Area Y, Kirtland Air Force Base-east, Albuquerque, NM 87115 | 2013-08-19 |
| 1750653069 | Molina Healthcare of New Mexico | Pediatrics | 7317 Central Ne, Albuquerque, NM 87108-2015 | 2012-02-01 |
| 1720370612 | Alfonso Belmonte | Pediatrics | Unm Department of Pediatrics Msc10 5590, Albuquerque, NM 87131-0001 | 2011-05-10 |
| 1326288010 | Minh N. Ho | Pediatrics | 4701 Montgomery Boulevard Ne, Albuquerque, NM 87109 | 2009-02-20 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87105 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.