Individual
RENATA GISELLE MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
I UNIVERSITY OF NEW MEXICO, MSC 10-5550, ALBUQUERQUE, NM 87131-0001
(505) 272-4661
Mailing address
I UNIVERSITY OF NEW MEXICO, MSC 10-5550, ALBUQUERQUE, NM 87131-0001
(505) 272-4661
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D92181
MD
207RI0200X
Infectious Disease Physician
D92181
MD
390200000X
Student in an Organized Health Care Education/Training Program
RS2015-0318
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
04/13/2015
Last updated
02/04/2022
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