Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rio Grande Geriatrics and Family Practice LLC

Organization Gerontology Registered Nurse · NPI 1639505712

Rio Grande Geriatrics and Family Practice LLC is a Gerontology Registered Nurse in Albuquerque, New Mexico. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8328 Cascade Park Ave NW
Albuquerque, NM 87120-6523
Phone: (505) 220-3873
Fax: (505) 792-5222
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Registered Nurse (primary) Taxonomy 163WG0600X

Record details

NPI number1639505712
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mike Wallace — Ceo Medical Director · (505) 220-3873
NPI enumeratedSeptember 19, 2013
Last updated in NPPESSeptember 19, 2013
Mailing address8328 Cascade Park Ave Nw, Albuquerque, NM 87120-6523

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