Individual
DR. LEONARDO MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 CEDAR ST SE STE 7600, PRESBYTERIAN HEART GROUP, ALBUQUERQUE, NM 87106-4921
(505) 563-2500
(505) 563-2599
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
GME
NM
207RC0000X
Cardiovascular Disease Physician
Primary
MD2011-0703
NM
Other
Enumeration date
05/13/2008
Last updated
06/16/2015
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