Individual
SIMON YAGUARE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 UNIVERSITY OF NEW MEXICO MSC10 5530, ALBUQUERQUE, NM 87131-0001
(505) 272-4161
Mailing address
1 UNIVERSITY OF NEW MEXICO MSC10 5530, ALBUQUERQUE, NM 87131-0001
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MD2025-0390
NM
Other
Enumeration date
04/01/2020
Last updated
07/21/2025
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