Individual
CARLOS A REVELO SARAVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
121 EL PASO RD, RUIDOSO, NM 88345-6033
(575) 630-8350
Mailing address
5320 N LOVINGTON HWY, HOBBS, NM 88240-9139
(575) 392-1973
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD2015-0124
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/26/2013
Last updated
01/25/2021
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