Organization
CANO HEALTH NEW MEXICO, LLC
Active
Parent organization
CANO HEALTH NEW MEXICO, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CANO HEALTH NEW MEXICO, LLC
Authorized official
DR. MARLOW BLAS HERNANDEZ DO (CEO)
(954) 514-9360
Entity
Organization
Contact information
Practice address
6211 4TH ST NW STE 1, ALBUQUERQUE, NM 87107-5700
(855) 226-6633
Mailing address
9725 NW 117TH AVE STE 200, MEDLEY, FL 33178-1260
(954) 514-9360
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/12/2021
Last updated
11/12/2021
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