OrganizationActive
Rio Grande Internal Medicine PC
NPI 1750688032 · Medical Specialty Clinic/Center · Albuquerque, NM
Provider details
- NPI number
- 1750688032
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kevin Goodluck, President(505) 792-2636
- License
- 97251 (NM)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
4801 Mcmahon Blvd Nw
Suite 235
Albuquerque, NM 87114-5090
Phone: (505) 792-2636
Fax: (505) 234-1707
Approximate (ZIP-level) locationGet directions
Mailing address
4801 Mcmahon Blvd Nw
Albuquerque, NM 87114-5090
Registry dates
- Enumerated
- 2011-02-22
- Last updated
- 2011-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.