Individual
DR. SANTIAGO MARINEZ AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 GRANDE BLVD SE, SUITE A, RIO RANCHO, NM 87124-1755
(505) 896-7100
Mailing address
2900 WALSH LOOP SE, RIO RANCHO, NM 87124-2982
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2014-0231
NM
Other
Enumeration date
05/16/2011
Last updated
02/13/2015
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