MEDICARE: ROBERT ONCHAGA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	202214724NPPP	OR
2	363LF0000X	Family Nurse Practitioner	61801	NM
3	163W00000X	Registered Nurse	RN-70079	NM
4	363L00000X	Nurse Practitioner	61801	NM

General Provider Information

NPI Number	:	1558885327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT ONCHAGA

Provider Business Mailing Address
First Line	:	1177 CARDENAS DR SE APT 441
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87108-1565
Country	:	US
Telephone Number	:	978-804-7338
Fax Number	:

Provider Business Practice Location Address
First Line	:	11227 CAMPO DEL OSO AVE NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87123-1272
Country	:	US
Telephone Number	:	978-804-7338
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2017
Last Update Date	:	06/16/2026

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Directions to “ ROBERT ONCHAGA ” Practice Location

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