Individual
RODRIGO PEREZ-RESENDIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
145 DON PASQUAL RD NW, LOS LUNAS, NM 87031-8841
(505) 865-4618
(505) 224-8727
Mailing address
127 SANDOVAL RD SW, LOS LUNAS, NM 87031-7320
(505) 865-3373
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1194827535
NM
363AM0700X
Medical Physician Assistant
Primary
PA2019-0088
NM
Other
Enumeration date
10/14/2019
Last updated
09/12/2024
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