Individual
ALFREDO QUIRALTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1600 THORPE RD, LAS CRUCES, NM 88012-9776
(575) 382-9292
(575) 382-2061
Mailing address
PO BOX 370, HATCH, NM 87937-0370
(575) 267-3280
(575) 267-1747
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2013-0016
NM
363A00000X
Physician Assistant
PENDING
FL
Other
Enumeration date
08/13/2010
Last updated
05/19/2014
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