Individual
DR. ALGELE CID SUMULONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4371 E LOHMAN AVE, LAS CRUCES, NM 88011-8255
(575) 532-8900
(575) 532-8910
Mailing address
4371 E LOHMAN AVE, LAS CRUCES, NM 88011-8255
(575) 532-8900
(575) 532-8910
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2015-0528
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36433381
—
NM
01
—
478656YRND
MEDICARE
NM
Enumeration date
03/26/2012
Last updated
01/12/2024
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