Individual
JAVIER ANTONIO VERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4253 MONTGOMERY BLVD NE STE 220, ALBUQUERQUE, NM 87109-1130
(505) 881-5307
Mailing address
PO BOX 93274, ALBUQUERQUE, NM 87199-3274
(505) 585-3744
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
MD2004-0122
NM
2084P0800X
Psychiatry Physician
Primary
MD2004-122
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47470500
—
NM
Enumeration date
02/15/2006
Last updated
02/01/2020
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