Organization
CANO HEALTH NEW MEXICO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARLOW B HERNANDEZ MD (CEO)
(954) 514-9360
Entity
Organization
Contact information
Practice address
2839 CARLISLE BLVD NE, ALBUQUERQUE, NM 87110-2876
(855) 226-6633
Mailing address
9725 NW 117TH AVE STE 200, MEDLEY, FL 33178-1260
(954) 432-0578
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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