| Rio Grande Urgent Care | |
|
3911 4th St Nw Ste B Albuquerque NM 87107-2510 | |
| (505) 433-4493 | |
| (505) 433-5271 |
| Full Name | Rio Grande Urgent Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 3911 4th St Nw Ste B, Albuquerque, New Mexico |
| Authorized Official Name and Position | Becky Gonzalez (CEO) |
| Authorized Official Contact | 5054334493 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rio Grande Urgent Care 4504 4th Street Nw Albuquerque NM 87107 Ph: (505) 433-4493 | Rio Grande Urgent Care 3911 4th St Nw Ste B Albuquerque NM 87107-2510 Ph: (505) 433-4493 |
| NPI Number | 1255784658 |
|---|---|
| Provider Enumeration Date | 07/20/2016 |
| Last Update Date | 08/28/2020 |
| Medicare PECOS PAC ID | 0749568350 |
|---|---|
| Medicare Enrollment ID | O20161102002515 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255784658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Laura L Pagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700219623 PECOS PAC ID: 7012151483 Enrollment ID: I20130925000391 |
| Provider Name | Becky L Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255749115 PECOS PAC ID: 9436370624 Enrollment ID: I20141103000654 |
| Provider Name | Lea M Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497151336 PECOS PAC ID: 5294058046 Enrollment ID: I20151001000034 |
| Provider Name | Stephanie Rae Abeyta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801211495 PECOS PAC ID: 2668713686 Enrollment ID: I20190401000945 |
| Provider Name | Courtney Carabajal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134468820 PECOS PAC ID: 6406187582 Enrollment ID: I20191004001063 |
| Provider Name | Naomi Quezada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376150037 PECOS PAC ID: 4587076823 Enrollment ID: I20201210001787 |
| Provider Name | Laurel Escano Laurel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851989305 PECOS PAC ID: 4688073539 Enrollment ID: I20210525002621 |
| Provider Name | Kelly Conklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053075978 PECOS PAC ID: 3971996208 Enrollment ID: I20220209002864 |
| Provider Name | Kimberly Kay Kozeliski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144984063 PECOS PAC ID: 5698162030 Enrollment ID: I20220503002176 |
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