Individual
DR. ISMAEL PADILLA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4351 E LOHMAN AVE STE 408, LAS CRUCES, NM 88011-8263
(575) 532-7161
(575) 522-3743
Mailing address
4351 E LOHMAN AVE STE 408, LAS CRUCES, NM 88011-8263
(575) 532-7161
(575) 522-3743
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
92-165
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202018555
PRESBYTERIAN
NM
01
—
600521042
GROUP PTAN
NM
01
—
7300534
AETNA
NM
05
—
E4953
—
NM
01
—
NM002M09
BLUECROSS BLUESHIELD
NM
Enumeration date
10/27/2006
Last updated
09/09/2020
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