Individual
MANUEL GONZALEZ-CUERVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3695 HOT SPRINGS BLVD, LAS VEGAS, NM 87701-9549
(505) 454-2100
Mailing address
3695 HOT SPRINGS BLVD, LAS VEGAS, NM 87701-9549
(505) 454-2100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
99-46
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z5545
—
NM
Enumeration date
08/31/2006
Last updated
06/17/2010
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