Individual
JULIET COQUIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8100 CONSTITUTION PL NE STE 210, PMG KASEMAN ARTHRITIS CLINIC, ALBUQUERQUE, NM 87110-7625
(505) 291-2222
(505) 291-2440
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-5356
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
101236254
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27724735
—
NM
Enumeration date
03/20/2007
Last updated
07/16/2008
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