Individual
CARLOS J ESPARZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3846 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4479
(505) 242-1711
(505) 242-0291
Mailing address
3846 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4479
(505) 242-1711
(505) 314-0547
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
97227
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000Q2804
—
NM
Enumeration date
05/03/2006
Last updated
12/01/2015
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