New Mexico Heart Institute, LLC
Internal Medicine, Cardiovascular Disease in Albuquerque, NM. Organization (NPI-2).
NPI number1346242575
StatusActive
Last updated in NPPESJul 24, 2019
Details
- NPI
- 1346242575
- Entity type
- Organization (NPI-2)
- Legal business name
- New Mexico Heart Institute, LLC
- Organization subpart
- Yes
- Enumeration date
- Jun 1, 2005
- Last updated
- Jul 24, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | – | – | Yes |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | FA0003020 | NM | |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | FA0003020 | NM | |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | – | – |
Practice location
502 Elm St. NeAlbuquerque, NM 87102
Phone 505-841-1000 · Fax 505-843-2956
Mailing address
502 Elm St NeAlbuquerque, NM 87102-2512
Phone 505-841-1000 · Fax 505-843-2956
Authorized official
Stephen Petrovich
Evp, General Counsel
6152963594
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