Bosquez, Mateo G

Bosquez, Mateo G is an individual health care provider with primary practice located at 2929 Coors Blvd Nw , Albuquerque NM 87120. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bosquez, Mateo G can be contacted via phone (505) 839-2300.

Contact Information

Primary practice address
2929 Coors Blvd Nw Albuquerque NM 87120
Fax: (505) 839-2303
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 74123 New Mexico

Profile Details

NPI number 1952491086
LBN Legal business name Bosquez, Mateo G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Dec 1st, 2009 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952491086 NPPES
New Mexico MEDICAID 91926262

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