Individual
ANA MARIA Y RAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2929 COORS BLVD NW, ALBUQUERQUE, NM 87120
(505) 839-2300
(505) 839-2303
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20020094
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
75078848
—
NM
Enumeration date
07/10/2006
Last updated
07/30/2018
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