NPI 1417870049 · live from the CMS NPI Registry
Rio Rancho Medical & Infusion Care LLC
Internal Medicine in Rio Rancho, NM. National Provider Identifier 1417870049, active.
NPI record
| NPI | 1417870049 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 1713 Wellspring Ave Se, Rio Rancho, NM 87124 |
| Practice phone | 505-254-1200 |
| Mailing address | 6980 Obannon Dr, Las Vegas, NV 89117 |
| Enumerated | July 31, 2026 |
| Last updated | August 7, 2026 |
| Authorized official | Demetrius Ware, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | — |
| Internal Medicine primary | 207R00000X | — |
| Internal Medicine, Allergy & Immunology | 207RA0201X | — |
| Internal Medicine, Gastroenterology | 207RG0100X | — |
| Internal Medicine, Physician Nutrition Specialist | 207RP1002X | — |
| Internal Medicine, Sports Medicine | 207RS0010X | — |
| Medical Genetics, Clinical Genetics (M.D.) | 207SG0201X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.