Individual
MR. RUBEN COLLADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
1835 PEARL LOOP, BOSQUE FARMS, NM 87068-9036
(505) 217-4150
(505) 869-4907
Mailing address
1835 PEARL LOOP, BOSQUE FARMS, NM 87068-9036
(505) 217-4150
(505) 869-4907
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R17420
NM
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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