RIO GRANDE DERMATOLOGY, PC


Address: 4545 Alameda Blvd Ne, Suite G, Albuquerque, NM 87113-1591
Phone: 5058962900

RIO GRANDE DERMATOLOGY, PC (NPI# 1497910848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497910848
Entity Type Organization
Organization Name RIO GRANDE DERMATOLOGY, PC
Practice Address 4545 Alameda Blvd Ne
Suite G
Albuquerque
NM 87113-1591
Practice Telephone 5058962900
Practice Fax Number 5059384198
Mailing Telephone 5058962900
Mailing Fax Number 5059384198
Enumeration Date 2008-07-25
Last Update Date 2015-02-05
Authorized Official Name MS. FRANCINE O MONTANO (PRACTICE MANAGER)
Authorized Official Telephone 5058962900
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207N00000X Dermatology 20050405 NM Allopathic & Osteopathic Physicians
Y 207N00000X Dermatology 20020450 NM Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NM 47235306 05
NM 76659755 05

Office Location

Street Address 4545 ALAMEDA BLVD NE
SUITE G
City ALBUQUERQUE
State NM
Zip Code 87113-1591

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326496340 Leigh Eleanore Higgins Physician Assistant 4545 Alameda Blvd Ne, Albuquerque, NM 87113-1591 2016-05-31
1629203468 Michaela Haney Jacobs Dermatology 4545 Alameda Blvd Ne, Suite G, Albuquerque, NM 87113-1591 2009-05-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952944613 Wendy Valenciano Flores Behavior Technician 9019 Washington St Ne Building A, Albuquerque, NM 87113 2019-10-24
1336608504 Southwestern Provider Services LLC Registered Nurse 6400 Paseo Del Norte, Albuquerque, NM 87113 2019-03-18
1376047795 Anne K. Hempstead D.d.s., P.C. Dentist 6400 Holly Ave Ne Ste M, Albuquerque, NM 87113 2018-03-20
1447769518 Ethan Grant Behavior Technician 8500 Washington St Ste A1, Albuquerque, NM 87113 2017-09-21
1215451083 Sarah Bartlett Behavior Technician 8500 Washington St, Ste A1, Albuquerque, NM 87113 2017-08-02
1396109906 Cathy A Walters Specialist/Technologist 532 Osuna Rd Ne, Albuquerque, NM 87113 2016-04-09
1518389824 Esther Sanchez Home Health Aide 6800 Vista Del Norte Drive, 2814, Albuqerque, NM 87113 2014-01-07
1356775456 Danielle Juliet Fichera Social Worker 315 Alameda Park Dr, Ne, Albuquerque, NM 87113 2013-08-26
1093053340 Eagle Pointe Dentists and Orthodontics, LLC Dentist 6230 Paseo Del Norte Ne, Suite B, Albuquerque, NM 87113 2013-01-22
1922346428 Keith Levitt Anesthesiology 8100 Wyoming Blvd Ne #712, Suite M4, Albuquerque, NM 87113 2013-01-18
Find all providers in zip 87113

Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639726920 Ribera Healthcare Dermatology 6341 Riverside Plaza Ln Nw Ste A-1, Albuquerque, NM 87120-2646 2019-08-21
1669692521 Alan Charles Blaugrund Dermatology 321 Big Horn Ridge Dr Ne, Albuquerque, NM 87122-1454 2007-04-25
1598804502 Monica Maria Romero Dermatology 6200 Uptown Blvd Suite 410, Dermatology & Skin Cancer Center of Nm, Albuquerque, NM 87110 2007-02-06
1700925740 Amanda Coker Harper Dermatology 7520 Montgomery Blvd Ne Bldg D4, Albuquerque, NM 87109-1533 2007-02-06
1154652295 David Michael Melamed Dermatology 5401 Lomas Blvd Ne, Suite B, Albuquerque, NM 87110-6457 2006-11-02
1295821098 Janice F Moranz Dermatology 6409 A Candelaria Ne, Albuquerque, NM 87110 2006-10-05
1174636427 Eduardo Humberto Tschen Dermatology 1203 Coal Ave Se, Albuquerque, NM 87106-5239 2006-08-17
1912917485 Donald D. Harville Dermatology 8200 Constitution Pl Ne, Albuquerque, NM 87110-7656 2006-08-08
1255395836 James Wendall Robison Dermatology 5601 Planeta Ct Ne, Albuquerque, NM 87111-1416 2006-04-12
1104816727 William Van Horn Mason Dermatology 800 Carlisle Pl Se, Albuquerque, NM 87108-4371 2005-10-25
Find all providers in ALBUQUERQUE

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City ALBUQUERQUE
Zip Code 87113

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Dataset Information

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.

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