Individual
SOFIA PALACIO CARDENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4901 LANG AVE NE, ALBUQUERQUE, NM 87109-4495
(505) 842-8171
Mailing address
4901 LANG AVE NE, ALBUQUERQUE, NM 87109
(505) 842-8171
(505) 246-0684
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD2018-0865
NM
207RX0202X
Medical Oncology Physician
Primary
MD2018-0865
NM
390200000X
Student in an Organized Health Care Education/Training Program
TRN17011
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99978385
—
NM
Enumeration date
06/25/2012
Last updated
12/03/2019
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