NPI 1497940175 · live from the CMS NPI Registry
Roberto Reble Bamba, M.D.
Pediatrics in Farmington, NM. National Provider Identifier 1497940175, active.
NPI record
| NPI | 1497940175 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics 208000000X |
| Practice location | 407 S Schwartz Ave Ste 102, Farmington, NM 87401 |
| Practice phone | 505-609-6700 |
| Mailing address | 311 N Sunny Cove Pl, Tucson, AZ 85748 |
| Enumerated | September 6, 2007 |
| Last updated | July 29, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics | 208000000X | 81746 (MN) |
| Pediatrics, Adolescent Medicine | 2080A0000X | 78630 (AZ) |
| Pediatrics primary | 208000000X | MD2010-0169 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.