Individual
LUIS CONSTANTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
715 MARTIN LUTHER KING AVE NE, SUITE 210, ALBUQUERQUE, NM 87102-3661
(505) 248-1800
(505) 248-1917
Mailing address
715 MARTIN LUTHER KING AVE NE, SUITE 210, ALBUQUERQUE, NM 87102-3661
(505) 248-1800
(505) 248-1917
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
2001-161
NM
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
2001-161
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G5666
—
NM
Enumeration date
06/01/2005
Last updated
11/13/2009
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