Organization
PA HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROLANDO CEPERO (PRESIDENT)
(505) 261-5184
Entity
Organization
Contact information
Practice address
400 GOLD AVE SW STE 220, ALBUQUERQUE, NM 87102-3278
(505) 261-5184
Mailing address
400 GOLD AVE SW STE 655, ALBUQUERQUE, NM 87102-3654
(505) 261-5184
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/29/2019
Last updated
11/19/2019
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