Organization
CARLSBAD SPINE PAIN SPORTS MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICARDO A NIEVES MD (PRESIDENT)
(575) 628-1548
Entity
Organization
Contact information
Practice address
2319 W PIERCE ST, CARLSBAD, NM 88220-3515
(505) 628-1548
(505) 628-1552
Mailing address
2319 W PIERCE ST, CARLSBAD, NM 88220-3515
(575) 628-1548
(505) 628-1552
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
2000325
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B9615
—
NM
Enumeration date
09/13/2007
Last updated
06/17/2008
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