Individual
GUILHERME BROMBERG MARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 CEDAR ST SE, SUITE 7600, ALBUQUERQUE, NM 87106-4917
(505) 563-2500
(505) 563-2599
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-5364
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
PENDING
NM
207RI0011X
Interventional Cardiology Physician
Primary
MD2009-0690
NM
Other
Enumeration date
09/10/2009
Last updated
04/23/2020
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