Healthcare Provider Details

I. General information

NPI: 1528109105
Provider Name (Legal Business Name): CHRISTINE RUBIE RD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

717 ENCINO PL NE 28
ALBUQUERQUE NM
87102-2611
US

IV. Provider business mailing address

4100 HIGH RESORT BLVD SE
RIO RANCHO NM
87124-5901
US

V. Phone/Fax

Practice location:
  • Phone: 505-338-4800
  • Fax: 505-338-4808
Mailing address:
  • Phone: 505-559-6400
  • Fax: 505-559-5901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number0583
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberLD0583
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: