Individual
KRISTY R. ONTIVEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
420 N MAIN ST, BELEN, NM 87002-3718
(505) 861-0060
Mailing address
PO BOX 2845, LAS CRUCES, NM 88004-2845
(575) 303-2929
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD2005-0520
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NM 30571880
—
NM
Enumeration date
03/09/2007
Last updated
03/19/2025
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