Individual
DR. JOSE GUADALUPE HERNANDEZ-REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3900 LAS ESTANCIAS CT SW, ALBUQUERQUE, NM 87121-5513
(505) 727-4200
(575) 727-9590
Mailing address
4101 INDIAN SCHOOL RD NE STE 110, ALBUQUERQUE, NM 87110-3991
(505) 727-4200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301046971
MI
207R00000X
Internal Medicine Physician
Primary
87-182
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104761737
—
MI
01
—
11-0-H2-4201-0
BCBS
MI
Enumeration date
01/09/2006
Last updated
08/18/2022
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