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RIVER ROCK MEDICAL
NPI 1063306322
Nurse Practitioner - Family in Albuquerque, NM

Active since June 03, 2025
7400 MONTGOMERY BLVD NE STE 4B, ALBUQUERQUE, NM 87109(505) 400-8396 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About River Rock Medical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIVER ROCK MEDICAL (NPI 1063306322) is a healthcare organization registered as a family in Albuquerque, New Mexico and active in the NPI registry since June 2025. The organization lists Stefanie Manzanares, President/fnp, as its authorized official.

NPPES Registry Identity

NPI1063306322
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameRIVER ROCK MEDICAL
Location Address7400 MONTGOMERY BLVD NE STE 4BAlbuquerque, NM 87109-1519
Mailing AddressPo Box 67792Albuquerque, NM 87193-7792 · (505) 400-8396
Phone(505) 400-8396
Organization SubpartNo
Authorized OfficialStefanie ManzanaresPresident/fnp · (505) 400-8396
Enumeration DateJune 3, 2025
NPPES CertifiedJune 3, 2025
✔ NPI 1063306322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
7400 MONTGOMERY BLVD NE STE 4B, Albuquerque, NM 87109
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RIVER ROCK MEDICAL PC
Nurse Practitioner (Family)
7400 MONTGOMERY BLVD NE STE 4B
ALBUQUERQUE, NM 87109
Bernalillo County (505) 400-8396

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 River Rock Medical's NPI number?

The NPI number for River Rock Medical is 1063306322. It was assigned to this organization in the NPPES registry on June 3, 2025.

Where is River Rock Medical located?

River Rock Medical is located at 7400 Montgomery Blvd NE Ste 4B, Albuquerque, NM 87109. The listed phone number is (505) 400-8396.

What is River Rock Medical's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for River Rock Medical was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.