Hermosa Plastic Surgery | |
8004 Constitution Pl Ne Albuquerque NM 87110-7628 | |
(505) 454-1907 | |
Not Available |
Full Name | Hermosa Plastic Surgery |
---|---|
Speciality | Clinic/center |
Location | 8004 Constitution Pl Ne, Albuquerque, New Mexico |
Authorized Official Name and Position | Miguel Gallegos (PRESIDENT) |
Authorized Official Contact | 5054541907 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Hermosa Plastic Surgery 8004 Constitution Pl Ne Albuquerque NM 87110-7628 Ph: (505) 454-1907 | Hermosa Plastic Surgery 8004 Constitution Pl Ne Albuquerque NM 87110-7628 Ph: (505) 454-1907 |
NPI Number | 1518387927 |
---|---|
Provider Enumeration Date | 04/24/2014 |
Last Update Date | 04/24/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518387927 | NPI | - | NPPES |
Z5721 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 93262 (New Mexico) | Primary |
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