MEDICARE: RINCON GENERAL CONTRACTOR LLC

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	171WH0202X	Home Modifications Contractor

General Provider Information

NPI Number	:	1568346237
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RINCON GENERAL CONTRACTOR LLC

Provider Business Mailing Address
First Line	:	5930 SANDI LN SW
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87105-6071
Country	:	US
Telephone Number	:	505-730-4459
Fax Number	:

Provider Business Practice Location Address
First Line	:	5930 SANDI LN SW
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87105-6071
Country	:	US
Telephone Number	:	505-730-4459
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	CINTHIA BARRIENTOS
Credential	:
Telephone Number	:	505-730-4459

Provider Enumeration Date	:	08/04/2025
Last Update Date	:	01/16/2026

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