Individual
ENRIQUE BUENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CONTRACTOR GENERAL
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
054569
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285054445
E AND E CONSTRUCTION CO.
NM
05
—
55076823
—
NM
Enumeration date
04/25/2014
Last updated
07/28/2015
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