Izquierdo, Luis A
Izquierdo, Luis A is an sole proprietor health care provider with primary practice located at 933 Bradbury Dr Se Suite 2222, Albuquerque NM 87106-4374. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Izquierdo, Luis A can be contacted via phone (505) 272-3120.Contact Information
Primary practice address
933 Bradbury Dr Se Suite 2222
Albuquerque NM 87106-4374
Phone: (505) 272-3120
Fax: (505) 272-8060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | 89-050 | New Mexico |
Profile Details
| NPI number | 1265534960 |
|---|---|
| LBN Legal business name | Izquierdo, Luis A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 2nd, 2006 |
| Last updated | Oct 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265534960 | NPPES |
| Florida | MEDICAID | 254356700 |
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