| Mederi Life Llc | |
|
6200 Coors Blvd Nw Ste A8 Albuquerque NM 87120-2794 | |
| (505) 433-4007 | |
| (505) 433-4068 |
| Full Name | Mederi Life Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6200 Coors Blvd Nw Ste A8, Albuquerque, New Mexico |
| Authorized Official Name and Position | Lisa Padilla (MANAGER) |
| Authorized Official Contact | 5053859060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mederi Life Llc 6200 Coors Blvd Nw Ste A8 Albuquerque NM 87120-2794 Ph: (505) 433-4007 | Mederi Life Llc 6200 Coors Blvd Nw Ste A8 Albuquerque NM 87120-2794 Ph: (505) 433-4007 |
| NPI Number | 1649834904 |
|---|---|
| Provider Enumeration Date | 04/23/2019 |
| Last Update Date | 10/04/2021 |
| Medicare PECOS PAC ID | 7416283171 |
|---|---|
| Medicare Enrollment ID | O20190801003306 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649834904 | NPI | - | NPPES |
| 1649834904 | Other | NM | GROUP NPI |
| 21089248 | Medicaid | NM |
| Provider Name | Rick Cardenas |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1902946726 PECOS PAC ID: 7618947573 Enrollment ID: I20060222000078 |
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