Individual
DR. GILBERTO HEREDIA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4901 LANG AVE NE, ALBUQUERQUE, NM 87109-4397
(505) 842-8171
(505) 246-0684
Mailing address
4901 LANG AVE NE, ALBUQUERQUE, NM 87109-4397
(505) 842-8171
(505) 246-0684
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
98288
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
S8635
—
NM
Enumeration date
07/18/2006
Last updated
06/12/2025
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