Individual
SERGIO EDGARDO ABRIOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD FACC RCS
Contact information
Practice address
724 LAKE DR, SANTA ROSA, NM 88435-2559
(575) 472-4311
(575) 472-4313
Mailing address
724 LAKE DR, SANTA ROSA, NM 88435-2559
(575) 472-4311
(575) 472-4313
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20020002
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009A32
BCBS OF NM
NM
01
—
10003253
LOVELACE HEALTH
—
01
—
110248296
RAILROAD MEDICARE
—
01
—
201037659
PRESBYTERIAN HEALTH
—
01
—
26630
LOVELACE SALUD
—
05
—
78150728
—
NM
01
—
PROVP11053
MOLINA
—
Enumeration date
10/02/2006
Last updated
01/04/2010
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