Provider Demographics
NPI:1407667264
Name:ABQ MEDICAL EQUIPMENT CO
Entity type:Organization
Organization Name:ABQ MEDICAL EQUIPMENT CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANICA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARBOSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-316-4410
Mailing Address - Street 1:6816 ACADEMY PARKWAY EAST NE STE C
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-4477
Mailing Address - Country:US
Mailing Address - Phone:505-318-5383
Mailing Address - Fax:
Practice Address - Street 1:6816 ACADEMY PARKWAY EAST NE STE C
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-4477
Practice Address - Country:US
Practice Address - Phone:505-318-5383
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-20
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies