Individual
DR. LUIS GUILLERMO BEVERIDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3900 LAS ESTANCIAS CT SW, ALBUQUERQUE, NM 87121-5513
(505) 727-4200
Mailing address
3900 LAS ESTANCIAS CT SW, ALBUQUERQUE, NM 87121-5513
(505) 727-4200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
GA75398
GA
207R00000X
Internal Medicine Physician
Primary
MD2024-0315
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
94452547
—
NM
Enumeration date
04/15/2014
Last updated
04/08/2024
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