Provider Demographics
NPI:1811987100
Name:ONGJOCO, RITA ROSALIE S (DO)
Entity type:Individual
Prefix:DR
First Name:RITA
Middle Name:ROSALIE S
Last Name:ONGJOCO
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:PO BOX 3585
Mailing Address - Street 2:
Mailing Address - City:PINEHURST
Mailing Address - State:NC
Mailing Address - Zip Code:28374-3585
Mailing Address - Country:US
Mailing Address - Phone:910-986-1831
Mailing Address - Fax:
Practice Address - Street 1:933 BRADBURY DR SE STE 2222
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106-4375
Practice Address - Country:US
Practice Address - Phone:505-272-3120
Practice Address - Fax:505-272-8060
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-27
Last Update Date:2014-01-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS05-303222080P0203X
MDH00532312080P0203X
NMA-1612-112080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDG91412Medicare UPIN