Individual
LUCIANO DE CASTRO RAMIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1219 GUSDORF RD STE A, TAOS, NM 87571-6499
(575) 758-0009
Mailing address
1219 GUSDORF RD STE A, TAOS, NM 87571-6499
(575) 758-0009
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
RS2024-0297
NM
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
RS2024-0297
NM
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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