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Individual

DR. JAVIER ITURBE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2590 CAMINO ENTRADA, SANTA FE, NM 87507-4876
(505) 946-3233
(505) 946-3234
Mailing address
2590 CAMINO ENTRADA, SANTA FE, NM 87507-4876
(505) 946-3233
(505) 946-3234

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
90-55
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000810819410
PHCS
01
10001170
LOVELACE
01
202010518
PRESBYTERIAN HEALTH PLANS
01
2746097
UHC
01
37621
CCN
05
46433
NM
01
NM029F61
BCBS NM
NM
01
PROVP13605
MOLINA
Enumeration date
07/04/2006
Last updated
11/23/2011
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