Organization
MIGUEL PUPIALES MD PC
Active
Organization
MIGUEL PUPIALES MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL PUPIALES MD (OWNER)
(505) 350-8331
Entity
Organization
Contact information
Practice address
4163 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-6742
(505) 344-7246
(505) 344-2666
Mailing address
PO BOX 16680, ALBUQUERQUE, NM 87191-6680
(505) 344-7246
(505) 344-2666
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
200-92
NM
208VP0014X
Interventional Pain Medicine Physician
Primary
2000-92
NM
Other
Enumeration date
05/09/2007
Last updated
10/16/2012
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