Espino, Gustavo Abel

Espino, Gustavo Abel is an sole proprietor health care provider with primary practice located at 4343 Pan American Fwy Ne Ste 236 , Albuquerque NM 87107-6834. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Espino, Gustavo Abel can be contacted via phone (505) 600-2511.

Contact Information

Primary practice address
4343 Pan American Fwy Ne Ste 236 Albuquerque NM 87107-6834
Fax: (505) 300-4977
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 98-49 New Mexico

Profile Details

NPI number 1518985191
LBN Legal business name Espino, Gustavo Abel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2006
Last updated Mar 4th, 2023 - about 2 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 1518985191 NPPES
New Mexico MEDICAID Z1106

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