Organization
CARLOS J ESPARZA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI MONTANEZ (CHIEF ADMIN OFFICER)
(505) 938-1517
Entity
Organization
Contact information
Practice address
3846 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4479
(505) 242-1711
(505) 242-0189
Mailing address
3846 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4479
(505) 242-1711
(505) 242-0189
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
97227
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000Q28004
—
NM
Enumeration date
07/16/2006
Last updated
02/11/2014
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