Abriola, Sergio Edgardo
Abriola, Sergio Edgardo is an sole proprietor health care provider with primary practice located at 724 Lake Dr , Santa Rosa NM 88435-2559. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Abriola, Sergio Edgardo can be contacted via phone (575) 472-4311.Contact Information
Primary practice address
724 Lake Dr
Santa Rosa NM 88435-2559
Phone: (575) 472-4311
Fax: (575) 472-4313
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 20020002 | New Mexico |
Profile Details
| NPI number | 1588757322 |
|---|---|
| LBN Legal business name | Abriola, Sergio Edgardo |
| Credentials | MD FACC RCS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Jan 4th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588757322 | NPPES |
| New Mexico | MEDICAID | 78150728 | |
| New Mexico | Other | 009A32 | |
| New Mexico | Other | 10003253 | |
| New Mexico | Other | 26630 | |
| New Mexico | Other | 110248296 | |
| New Mexico | Other | 201037659 | |
| New Mexico | Other | PROVP11053 |
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