Olivares, Melquiades
Olivares, Melquiades is an sole proprietor health care provider with primary practice located at 260 Mills Ave , Las Vegas NM 87701-4125. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Olivares, Melquiades can be contacted via phone (505) 425-6731.Contact Information
Primary practice address
260 Mills Ave
Las Vegas NM 87701-4125
Phone: (505) 425-6731
Fax: (505) 454-9193
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 90265 | New Mexico |
Profile Details
| NPI number | 1629084272 |
|---|---|
| LBN Legal business name | Olivares, Melquiades |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Jun 18th, 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 | 1629084272 | NPPES |
| New Mexico | MEDICAID | 00042138 |
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