Escudero, Ronald J

Escudero, Ronald J is an individual health care provider with primary practice located at 4100 Wolcott Ave Ne Suite A, Albuquerque NM 87109-4571. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Escudero, Ronald J can be contacted via phone (505) 855-5500.

Contact Information

Primary practice address
4100 Wolcott Ave Ne Suite A Albuquerque NM 87109-4571
Fax: (505) 855-5501
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 91-196 New Mexico

Profile Details

NPI number 1851390397
LBN Legal business name Escudero, Ronald J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Jul 8th, 2007 - about 18 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 1851390397 NPPES
New Mexico MEDICAID 42085

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