BOSQUE CLINIC LLC
NPI 1033977780
Nurse Practitioner - Primary Care in Rio Rancho, NM
About Bosque Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOSQUE CLINIC LLC (NPI 1033977780), doing business as The Bosque Clinic, is a healthcare organization registered as a primary care in Rio Rancho, New Mexico and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through January 5, 2028 and lists Robert Martinez, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 32D2336531
Bosque Clinic, LLC, The · Rio Rancho, NMOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bosque Clinic LLC's NPI number?
The NPI number for Bosque Clinic LLC is 1033977780. It was assigned to this organization in the NPPES registry on March 7, 2024. The provider is doing business as The Bosque Clinic.
Where is Bosque Clinic LLC located?
Bosque Clinic LLC is located at 1400 Jackie Rd SE Ste 106, Rio Rancho, NM 87124. The listed phone number is (505) 934-1071.
What is Bosque Clinic LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Does Bosque Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 32D2336531) is associated with this NPI, valid through January 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Bosque Clinic LLC was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
