Individual
REYES ISMAEL CUEVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3485 NORTHRISE DR STE A, LAS CRUCES, NM 88011-6839
(575) 382-2149
(575) 382-2187
Mailing address
3485 NORTHRISE DR STE A, LAS CRUCES, NM 88011-6839
(575) 382-2149
(575) 382-2187
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2015-0201
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
72545
—
NM
Enumeration date
05/18/2011
Last updated
09/08/2020
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