Nevarez, Alfredo
Nevarez, Alfredo is an sole proprietor health care provider with primary practice located at 1016 E Roosevelt Ave , Grants NM 87020-2118. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Nevarez, Alfredo can be contacted via phone (505) 287-4446.Contact Information
Primary practice address
1016 E Roosevelt Ave
Grants NM 87020-2118
Phone: (505) 287-4446
Fax: (505) 287-5343
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD2019-0669 | New Mexico |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 58019 | Arizona |
Profile Details
| NPI number | 1558711846 |
|---|---|
| LBN Legal business name | Nevarez, Alfredo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2016 |
| Last updated | Aug 16th, 2021 - about 5 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 | 1558711846 | NPPES |
| New Mexico | Other | MD2019-0669 | NM LICENSE |
| New Mexico | MEDICAID | 30678501 | NM LICENSE |
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