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Individual

CARMEN ROMELIA RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
500 SAN MATEO NE SUITE B, SUITE B, ALBUQUERQUE, NM 87108
(505) 262-6500
(505) 262-6400
Mailing address
720 QUINCY ST NE, ALBUQUERQUE, NM 87110-6326
(505) 266-4790
(505) 262-6400

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
88-64
NM
207Q00000X
Family Medicine Physician
J1025
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00016360
NM
Enumeration date
08/16/2006
Last updated
08/01/2008
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