Individual
HERNAN CIUDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2801 MISSOURI AVE, SUITE 27, LAS CRUCES, NM 88011-5075
(505) 521-0630
(505) 521-0628
Mailing address
PO BOX 1560, LAS CRUCES, NM 88004-1560
(505) 647-8366
(505) 647-8381
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
74-17
NM
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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