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Fiesta Park Healthcare LLC

Skilled Nursing Facility in Albuquerque, NM · enumerated 2011 · authorized official Robert Martin, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1962787812

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Registry record

Entity type Organization (Type 2)
Legal business name Fiesta Park Healthcare LLC
Other name <Unavail>
Practice address 8820 Horizon Blvd Ne, Albuquerque, NM, 87113
Enumeration date Oct 11, 2011
Last updated in NPPES Dec 10, 2014

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Robert Martin
Title Ceo

Other identifiers

Identifier Type State Issuer
17631823 Medicaid NM -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Fiesta Park Healthcare LLC located?
The practice location on file with NPPES is in Albuquerque, NM.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-12-10. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-12-10.