Individual
DR. ALBERTO JOSUE MARTINEZ VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 724-6124
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ND2024-0243
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/01/2021
Last updated
06/20/2024
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