| Ricardo Ortega Md, Llc | |
|
5519 Rabadi Castle Ave Nw Albuquerque NM 87114-1412 | |
| (505) 833-5091 | |
| (505) 352-6857 |
| Full Name | Ricardo Ortega Md, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5519 Rabadi Castle Ave Nw, Albuquerque, New Mexico |
| Authorized Official Name and Position | Ricardo J Ortega (SOLE PROPRIETOR) |
| Authorized Official Contact | 5058335091 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ricardo Ortega Md, Llc 5519 Rabadi Castle Ave Nw Albuquerque NM 87114-1412 Ph: (505) 833-5091 | Ricardo Ortega Md, Llc 5519 Rabadi Castle Ave Nw Albuquerque NM 87114-1412 Ph: (505) 833-5091 |
| NPI Number | 1891984688 |
|---|---|
| Provider Enumeration Date | 10/17/2007 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 3678589363 |
|---|---|
| Medicare Enrollment ID | O20060306000164 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891984688 | NPI | - | NPPES |
| CS00008264 | Other | NM | NM STATE PHARMACY # |
| 81-280 | Other | NM | NM STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 81-280 (New Mexico) | Primary |
| Provider Name | Ricardo J Ortega |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982694824 PECOS PAC ID: 8325068448 Enrollment ID: I20060307000083 |
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