Individual
DANIEL A FUENTES-BERNARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4411 THE 25 WAY NE, SUITE 150, ALBUQUERQUE, NM 87109-5857
(505) 332-6900
(505) 332-6921
Mailing address
4411 THE 25 WAY NE, SUITE 150, ALBUQUERQUE, NM 87109-5857
(505) 332-6900
(505) 332-6921
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
99-201
NM
2085R0202X
Diagnostic Radiology Physician
L2261
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000Z9347
—
NM
05
—
145474601
—
TX
Enumeration date
10/27/2005
Last updated
03/12/2014
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