Gonzalez-Cuervo, Manuel
Gonzalez-Cuervo, Manuel is an individual health care provider with primary practice located at 3695 Hot Springs Blvd , Las Vegas NM 87701-9549. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gonzalez-Cuervo, Manuel can be contacted via phone (505) 454-2100.Contact Information
Primary practice address
3695 Hot Springs Blvd
Las Vegas NM 87701-9549
Phone: (505) 454-2100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 99-46 | New Mexico |
Profile Details
| NPI number | 1447361951 |
|---|---|
| LBN Legal business name | Gonzalez-Cuervo, Manuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jun 17th, 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 | 1447361951 | NPPES |
| New Mexico | MEDICAID | Z5545 |
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