Individual
GUSTAVO BARRAZUETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2402 W PIERCE ST STE 6E, CARLSBAD, NM 88220-3566
(575) 628-0312
(575) 628-8015
Mailing address
2402 W PIERCE ST STE 6E, CARLSBAD, NM 88220-3566
(575) 628-0312
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
264108
MA
207X00000X
Orthopaedic Surgery Physician
35.142413
OH
207X00000X
Orthopaedic Surgery Physician
Primary
MD2024-0466
NM
Other
Enumeration date
06/01/2015
Last updated
06/07/2024
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