# CARLOS J ESPARZA MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366469314
- **Authorized official:** LORI MONTANEZ (CHIEF ADMIN OFFICER)
- **Authorized official phone:** (505) 938-1517

## Contact information

- **Practice address:** 3846 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4479
- **Practice address phone:** (505) 242-1711
- **Practice address fax:** (505) 242-0189
- **Mailing address:** 3846 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4479
- **Mailing address phone:** (505) 242-1711
- **Mailing address fax:** (505) 242-0189

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 97227 | NM | Yes |

## Other

- **Enumeration date:** 07/16/2006
- **Last updated:** 02/11/2014