Individual
FELIX C. MADRID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2345 SOUTHERN BLVD SE STE B1, RIO RANCHO, NM 87124-3761
(505) 892-0111
Mailing address
10905 FAROLA DR NW, ALBUQUERQUE, NM 87114-6501
(505) 899-5833
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD1864
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3272
—
NM
01
—
596127
UNITED CONCORDIA
NM
01
—
810M
BLUE CROSS BLUE SHIELD
NM
Enumeration date
07/20/2006
Last updated
07/08/2007
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