Individual
DR. OSVALDO RENE DELAVEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
755 S TELSHOR BLVD, SUITE S101, LAS CRUCES, NM 88011-4688
(575) 521-1575
(575) 521-1940
Mailing address
755 S TELSHOR BLVD, SUITE S101, LAS CRUCES, NM 88011-4688
(575) 521-1575
(575) 521-1940
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
90-31
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23580
—
NM
Enumeration date
11/28/2006
Last updated
08/08/2016
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