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

Individual provider Physical Therapist · NPI 1043407778

Mrs. Roberta Albina Lucero, MPTATC is a Physical Therapist in Private Practice in Las Vegas, New Mexico. Qualified in 2007, 19 years ago. Accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
19
Licensed in
NM
In the registry since
2007
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Practice location Address checks out

624 University Ave Ste 100
Las Vegas, NM 87701-4252
Phone: (505) 454-1078
Fax: (505) 454-1164
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 3441 (NM)

Record details

NPI number1043407778
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPTATC
Sole proprietorNo
NPI enumeratedSeptember 26, 2007
Last updated in NPPESOctober 25, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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