Individual provider · NPI-1

Dr. Gabriel Botelho Bastos Zaverucha, MD

Internal Medicine · Espanola, NM

NPI number1669257697
StatusActive
Last updated in NPPESAug 21, 2026

Details

NPI
1669257697
Entity type
Individual (NPI-1)
Name
Dr. Gabriel Botelho Bastos Zaverucha
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Aug 28, 2023
Certification date
Aug 21, 2026
Last updated
Aug 21, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineMD2026-0160NMYes

Practice location

1010 Spruce St
Espanola, NM 87532-2746

Phone 505-367-0343 · Fax 505-367-4470

Mailing address

1010 Spruce St
Espanola, NM 87532-2746

Phone 505-367-0343 · Fax 505-367-4470

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