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Individual

DR. JOSEPH RUBEN PEREA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4300 SAN MATEO BLVD NE, SUITE B270, ALBUQUERQUE, NM 87110-1229
(505) 883-7525
(505) 883-7535
Mailing address
4300 SAN MATEO BLVD NE, SUITE B270, ALBUQUERQUE, NM 87110-1229
(505) 883-7525
(505) 883-7535

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
NM 80-79
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00022848
NM
01
00NM007852
BCBS OF NEW MEXICO
NM
Enumeration date
01/17/2007
Last updated
07/09/2007
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