Individual
JOSE ALBERTO CANACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MSC10 5610, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131
(505) 272-6120
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD2017-0877
NM
2084P0800X
Psychiatry Physician
RS2013-0739
NM
Other
Enumeration date
08/29/2013
Last updated
01/24/2025
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