Individual
LEANDRO XAVIER CENTENERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11516 PINE TOP LN NE, ALBUQUERQUE, NM 87111-6585
(505) 389-5053
Mailing address
11516 PINE TOP LN NE, ALBUQUERQUE, NM 87111-6585
(505) 389-5053
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD2004-0079
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0153884
—
MT
Enumeration date
06/18/2006
Last updated
07/28/2020
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