Organization
MONTE VISTA MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA M GARCIA M.D. (OWNER)
(505) 249-7913
Entity
Organization
Contact information
Practice address
1518 GIRARD BLVD NE, ALBUQUERQUE, NM 87106-1823
(505) 268-1480
(505) 268-1799
Mailing address
1518 GIRARD BLVD NE, ALBUQUERQUE, NM 87106-1823
(505) 268-1480
(505) 268-1799
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
98-268
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z6116
—
NM
Enumeration date
07/05/2012
Last updated
03/19/2013
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