| Midtown Family Medicine | |
|
1821 Carlisle Blvd Ne Albuquerque NM 87110-4905 | |
| (505) 255-1228 | |
| (505) 255-1394 |
| Full Name | Midtown Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1821 Carlisle Blvd Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Donald J Ortiz (PARTNER) |
| Authorized Official Contact | 5052551228 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midtown Family Medicine 1821 Carlisle Blvd Ne Albuquerque NM 87110-4905 Ph: (505) 255-1228 | Midtown Family Medicine 1821 Carlisle Blvd Ne Albuquerque NM 87110-4905 Ph: (505) 255-1228 |
| NPI Number | 1396906798 |
|---|---|
| Provider Enumeration Date | 06/19/2008 |
| Last Update Date | 04/07/2011 |
| Medicare PECOS PAC ID | 1951476936 |
|---|---|
| Medicare Enrollment ID | O20080826000846 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396906798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 03-136327-00-0 (New Mexico) | Primary |
| Provider Name | Michael A Montoya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215046545 PECOS PAC ID: 5294639449 Enrollment ID: I20031120000550 |
| Provider Name | Donald J Ortiz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841309176 PECOS PAC ID: 3678648656 Enrollment ID: I20080903000561 |
| Provider Name | Lois B Moss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598047706 PECOS PAC ID: 2163679796 Enrollment ID: I20120907000280 |
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