Renal And Internal Medicine Consultant PC
Internal Medicine, Nephrology in Albuquerque, NM. Organization (NPI-2).
NPI number1083000699
StatusActive
Last updated in NPPESJun 17, 2016
Details
- NPI
- 1083000699
- Entity type
- Organization (NPI-2)
- Legal business name
- Renal And Internal Medicine Consultant PC
- Organization subpart
- No
- Enumeration date
- Apr 9, 2015
- Last updated
- Jun 17, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RN0300X | Internal Medicine, Nephrology | 79-158 | NM | Yes |
Practice location
4201 Central Ave NwSuite K-2
Albuquerque, NM 87105-1630
Phone 505-639-5438 · Fax 505-544-2624
Mailing address
4201 Central Ave NwSuite K-2
Albuquerque, NM 87105-1630
Phone 505-639-5438 · Fax 505-544-2624
Authorized official
Ramon R Duarte
Owner
5753125822
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