Individual
DR. LUIS CENTENERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4411 THE 25 WAY NE, SUITE 150, ALBUQUERQUE, NM 87109-5857
(505) 332-5800
(505) 332-6919
Mailing address
4411 THE 25 WAY NE, SUITE 150, ALBUQUERQUE, NM 87109-5857
(505) 332-5800
(505) 332-6921
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2001-152
NM
2085R0204X
Vascular & Interventional Radiology Physician
2001-152
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2258272
MEDICARE GROUP
NM
05
—
45138
—
NM
05
—
52713
—
NM
01
—
600521002
MEDICARE IDTF
NM
01
—
700521102
MEDICARE GROUP
NM
01
—
800521126
MEDICARE IDTF
NM
05
—
G6014
—
NM
05
—
L0634
—
NM
Enumeration date
03/20/2006
Last updated
03/12/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us