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Individual

JORGE MARKO SORIA MONCADA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5901 HARPER DR NE BLDG 1 OR ENTRANCE A, ALBUQUERQUE, NM 87109-3714
(505) 848-3730
(505) 848-3732
Mailing address
5901 HARPER DR NE BLDG 1, ALBUQUERQUE, NM 87109-3569
(505) 848-3730
(505) 848-3732

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
MD2023-0193
NM
207RI0200X
Infectious Disease Physician
Primary
MD2023-0193
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
96532572
NM
Enumeration date
07/09/2018
Last updated
04/24/2026
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