Individual
EDUARDO A. CASTREJON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D. P.A.
Contact information
Practice address
1205 S SOLANO DR, LAS CRUCES, NM 88001-3755
(505) 254-9119
(505) 525-1889
Mailing address
1205 S SOLANO DR, LAS CRUCES, NM 88001-3755
(505) 524-9119
(505) 525-1889
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
NM82-19
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0505
BCBS
NM
01
—
073952601
TEXAS MEDICAID
TX
05
—
08656
—
NM
01
—
188063500
RAIL ROAD MEDICARE
NM
05
—
201001583
—
NM
05
—
85-0440261
—
NM
Enumeration date
10/05/2005
Last updated
04/11/2011
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