Organization
LISA SOMOZA ROBLES MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA SOMOZA ROBLES MD (PRESIDENT)
(505) 988-2117
Entity
Organization
Contact information
Practice address
2019 GALISTEO ST STE A3, SANTA FE, NM 87505-2143
(505) 988-2117
(505) 988-2119
Mailing address
2019 GALISTEO ST STE A3, SANTA FE, NM 87505-2143
(505) 988-2117
(505) 988-2119
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300521038
MEDICARE GROUP NUMBER
NM
Enumeration date
03/17/2008
Last updated
08/15/2022
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