Individual
MR. LUIS ALVIDREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPT, CSCS CERTIFIED
Contact information
Practice address
336 ADAMS ST SE, ALBUQUERQUE, NM 87108-2837
(505) 268-1231
(505) 268-1968
Mailing address
336 ADAMS ST SE, ALBUQUERQUE, NM 87108-2837
(505) 268-1231
(505) 268-1968
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1349767
NM
Other
Enumeration date
04/01/2009
Last updated
04/03/2012
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