Individual
FEDERICO DI STASO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MSC08-4640, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 81731
(505) 272-4814
(505) 272-0240
Mailing address
MSC08-4640, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 81731
(505) 272-4814
(505) 272-0240
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RS2025-0065
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
04/07/2025
Last updated
06/17/2025
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